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WORK SEARCH VERIFICATION - wyomingworkforce.org

State of Wyoming Department of Workforce Services unemployment insurance Division PO Box 2760, Casper, WY 82602 Fax: Matthew H. Mead Governor John Cox Director John Ysebaert Deputy Director work SEARCH VERIFICATION SSN: - - BYE: / / LO: CSR: TIME SENSITIVE / RESPOND IMMEDIATELY Date: This form must be received in our office by mail or fax within _10_ days from the date of this notice. If all information is not supplied in the time allowed or the work searches are incomplete, it will be presumed you did not meet the work SEARCH requirement.

Unemployment Insurance Division State of Wyoming Department of Workforce Services PO Box 2760, Casper, WY 82602 John Cox ... If all information is not supplied in the time allowed or the work searches are incomplete, it will be presumed you did not meet the work search requirement.

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  Search, Insurance, Unemployment, Work, Unemployment insurance, Work search

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Transcription of WORK SEARCH VERIFICATION - wyomingworkforce.org

1 State of Wyoming Department of Workforce Services unemployment insurance Division PO Box 2760, Casper, WY 82602 Fax: Matthew H. Mead Governor John Cox Director John Ysebaert Deputy Director work SEARCH VERIFICATION SSN: - - BYE: / / LO: CSR: TIME SENSITIVE / RESPOND IMMEDIATELY Date: This form must be received in our office by mail or fax within _10_ days from the date of this notice. If all information is not supplied in the time allowed or the work searches are incomplete, it will be presumed you did not meet the work SEARCH requirement.

2 You MUST complete and return this form even if you have returned to work , as this is a review of week you had filed for and been paid for. Failure to respond will result in an OVERPAYMENT for those weeks and the claim could be CLOSED. Week 1 of: through Date of Contact mm/dd/yy Company Name, and Address, Phone # or Website How Contacted Person Contacted/Title work sought Results Application or Resume Submitted Agency Use Only Verified? 1. In person Phone/Fax Mail/Email Website Not Hiring Pending Hired Interviewed Yes No Yes No Issue 2. In person Phone/Fax Mail/Email Website Not Hiring Pending Hired Interviewed Yes No Yes No Issue Week 2 of: through Date of Contact mm/dd/yy Company Name, and Address, Phone # or Website How Contacted Person Contacted/Title work sought Results Application or Resume Submitted Agency Use Only Verified?

3 1. In person Phone/Fax Mail/Email Website Not Hiring Pending Hired Interviewed Yes No Yes No Issue 2. In person Phone/Fax Mail/Email Website Not Hiring Pending Hired Interviewed Yes No Yes No Issue I hereby certify the above information is true to the best of my knowledge. I understand that the law provides penalties for false statements or withholding of facts. Your Signature Date: Phone #_____E-Mail Address_____ *174 *


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