Work Search Action Log

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Document Number:  UCB-12-E

Description:  This form may be used to document your search actions for a week.

Comments:  You must document your work search actions for each week you claim benefits, having enough detail to allow for verification by the department.  If you choose not to use the online Weekly Search Entry Form* to document your work search actions, the UCB-12-E may be used.  Do not send a copy of the Work Search Action Log to the department unless it is requested.  If requested, you will be told how to send it to the department at the time of the request.

*To use the online Weekly Work Search Entry Form to document your work search actions throughout the week for the current week

 The department may request acceptable proof of your work search actions at any time.  Keep acceptable proof of your work search actions for 52 weeks.

Content Contact:  If you have any questions or need assistance, call the Claimant Assistance Line 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/68 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.

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