Form BN-900E: TWC Work Search Log

The Texas Workforce Commission Work Search Log
Week of: _____________ to ______________
Number of Required searches: _______________
If you are still unemployed after eight weeks of benefits, you should reduce your salary requirement and look at more job openings. Make as many copies of this as you need, or print copies
at www.twc.state.tx.us/ui/bnfts/worksearchlog.html.
Date, Description of Work Search
Date of Activity ..........................................................................
Work Search Activity ................................................................
Name, Location and Telephone
Number of Employer/Service/Agency
(For address, use street or Internet address)
Contact Information
Results
Complete all that apply.
Name .................................................................................................... Person Contacted .......................................... _ Hired
Address ................................................................................................ _ By Mail (Enter Address at left)
_ Not hiring
Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Date of Activity ..........................................................................
Name .................................................................................................... Person Contacted .......................................... _ Hired
Address ................................................................................................ _ By Mail (Enter Address at left)
_ Not hiring
Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Date of Activity ..........................................................................
Name .................................................................................................... Person Contacted .......................................... _ Hired
Address ................................................................................................ _ By Mail (Enter Address at left)
Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Date of Activity ..........................................................................
Name .................................................................................................... Person Contacted .......................................... _ Hired
Address ................................................................................................ _ By Mail (Enter Address at left)
_ Not hiring
Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Date of Activity ..........................................................................
Name .................................................................................................... Person Contacted .......................................... _ Hired
Type of Job ................................................................................
Address ................................................................................................ _ By Mail (Enter Address at left)
_ Not hiring
Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Keep this form for your records. Send a copy to TWC only if requested, using the address or fax number we give you
You may receive, review, and correct information TWC collects about you by contacting TWC Open Records at 1-866-274-0940.
BN900E (06-07-10)
WSV BWE:
Type of Job ................................................................................
Work Search Activity ................................................................
RD:
Work Search Activity ................................................................
UO
Type of Job ................................................................................
U#
Work Search Activity ................................................................
_ Not hiring
A
Type of Job ................................................................................
Outcome:
Work Search Activity ................................................................
V-Date:
(Ex: Applied for job, submitted resume, attended job fair,
interviewed, used Workforce Center, searched online)
Verifier ID:
Name:
Social Security #: _______-_____-_______
TWC
use
only