Work Search Form .docVIP

Wood County Child Support Work Search Log Name___________________ Month__________________ IVD# or Social Security#__________________ Note: Employer contacts do NOT require a signature by the employer for verification but you do need to write down the name of the person you talked to. Your case manager will contact employers to verify that you have made legitimate contacts. Remember you need to apply for 40 jobs per month and submit this form to the Wood County Child Support Agency at the end of each month to be in compliance. You can drop of the log in person or by mailing it to the Wood County Child Support Agency 400 Market St. PO Box 8095, Wisconsin Rapids, WI 54495 Examples # Employer and Position Applied for Date Method of Contact Person Contacted and Contact Information CSA Worker’sVerification 1 Mobil Gas Station Cashier Application Resume Interview Face-to-face On-line Tom Miller. 715 555-5555, 123 North St, Wis. Rapids Called Tom 5/10/07 application is on file. 2 McDonald’s Cook Application Resume Interview Face-to-face On-line On-line @ /jobs # Employer/ Position of Interest Date Method of Contact Person Contacted/ Contact Information CSA Worker’s Verification 1 Application Resume Interview Face-to-face On-line 2 Application Resume Interview Face-to-face On-line 3 Application Resume Interview Face-to-face On-line 4 Application Resume Interview Face-to-face On-line 5 Application Resume Interview Face-to-face On-line 6 Application Resume Interview Face-to-face On-line 7 Application Resume Interview Face-to-face On-line 8 Application Resume Interview Face-to-face On-line 9 Application Resume Interview Face-to-face On-line 10 Application Resume Interview Face-to-face On-line 11 Application Resume Interview Face-to-face On-line 12 Application Resume Interview Face-to-face On-line 13 Application Resume Interview Face-to-face On-line 14 Application Resume Interview Face-to-face