Dislocated Worker Survey

Document Number:  DETW-17123

Description:  The Dislocated Worker Survey is completed by individuals who may lose or have lost their jobs due to a business closing or mass layoff.  Information gathered in this survey is used for re-employment, retraining, research and economic development purposes.

Comments:  The survey form is distributed only by DWD and Wisconsin's 11 Workforce Development Boards.  The survey is completed by hand using a black or blue pen.  Pencils should not be used.  Workforce Development Board representatives return the completed surveys to:

Department of Workforce Development
Division of Employment and Training
Dislocated Worker Unit, GEF 1 - E100
201 E. Washington Ave.
P.O. Box 7972
Madison, WI 53707

Content Contact:  Gesina Mentink

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.

Email DWD DWD Photo Gallery DWD on Twitter DWD on Facebook DWD on YouTube DWD on LinkedIn DWD RSS Feed

A proud partner of the network