Work Search Log

Document Number:  UCB-12-E

Description:  The front side of this form (page 1 of the attachment) is a work search log to be used by a claimant to record work search actions.  The back side of the form (page 2 of the attachment) contains instructions including examples of valid vs. invalid work search actions.

Comments:  If you file your weekly claim online, you must report four work search actions to complete the claim.  The department will keep copies of the work search actions submitted when you file online.  If you file your claim online, you do not have to submit your work search log by mail/fax to the department unless you receive a written request for that work search log in the mail.

If you file your weekly claim using the telephone and are required to look for work, you are required to MAIL or FAX (608-327-6499) a copy of the work search log for the week of your claim.  This is the written record of your weekly work search that you already are required to create and retain for your records.  The department will validate your work search before issuing payment.  Your work search log is due 7 days from the date you file your weekly claim.  The department will work diligently to validate logs and issue timely payments as soon as your work search information is received.  The entire process could take up to 10 days.

This Work Search Log is an electronic Microsoft Word template that can be filled out on your computer and printed.  If you do not have Microsoft Word, please go to the DWD Viewers Download Page.  If only the work search log is needed, just print page 2.

Content Contact:  Benefit Operations Staff

Document Attachments:

UCB-12-E (English Version - Word/76 KB)

UCB-12-E-H (Hmong Version - Word/68 KB)

UCB-12-E-S (Spanish Version - Word/68 KB)

*** 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.

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