Work Search Log

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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 or 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 to document or maintain a written record of your weekly work search actions for yourself.

If you file your weekly claim online (using the online benefit services system), 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 must report four work search actions to the claims specialist taking your claim.  Work search logs are not submitted by email.  If you file your claim with the help of a claims specialist 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 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 (608-327-6499).  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.

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