Work Search Log

In English  |  En Español  |  Txhais lus Hmoob

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 are truly unable to file online (and a claims specialist does so on your behalf), the UCB-12-E is a tool for you to use if you would like a piece of paper to document or maintain a written record of your weekly work search actions for yourself.

You must report four work search actions to complete your weekly claim.  The department will keep copies of the work search actions submitted when you file your claim.  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.

Work search logs are not submitted by email.

If you file your weekly claim using a paper claim (UCB-17) you are required to submit a copy of the work search log at the time you submit that paper claim. You can do so by MAIL or FAX; the numbers are on the back of the UCB-17.  The department will validate your work search before issuing payment.  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.

Content Contact:  If you have any questions or need assistance, call a claims specialist at 414-435-7069 or dial 7-1-1 for Wisconsin Relay Service during business hours.

Document Attachments:

UCB-12-E (English Electronic Version - Word/79 KB)

UCB-12 (English Print Version - pdf/37 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.

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