Form DOL-2798 "Weekly Work Search Record" - Georgia (United States)

What Is Form DOL-2798?

This is a legal form that was released by the Georgia Department of Labor - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the Georgia Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOL-2798 by clicking the link below or browse more documents and templates provided by the Georgia Department of Labor.

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Download Form DOL-2798 "Weekly Work Search Record" - Georgia (United States)

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GEORGIA DEPARTMENT OF LABOR (GDOL)
WEEKLY WORK SEARCH RECORD
Name (please print):__________________________________________ Social Security Number: _______________________________
You must make at least three new job contacts each week. You are required to keep a detailed record of your work search activities and submit evidence of three verifiable contacts as a part of
your weekly certification. A claim week begins on Sunday and ends on Saturday at midnight. Your work search efforts are subject to audit by GDOL. Failure to submit a completed weekly
work search record for any week claimed, or listing any unverifiable contacts, may result in a denial and/or repayment of benefits.
Weekly work search records must be submitted by one of the following methods: Internet or fax. The faster, more preferred method is to submit by Internet. If you choose to fax your records, you
must submit this form completed with your signature to one of the following numbers: 404-525-3605, 404-525-3606 or 1-877-302-1573 (toll-free). Other work search forms will not be accepted. We
recommend you submit your work search immediately upon completing your weekly certification by Internet or Interactive Voice Response (IVR).
For each week claimed, record your work search activity on this form, completing all of the required information. The contact information provided must correspond with the week claimed. Retain a
copy of this form for your records.
(Please fill in the information below)
Report for the week of (Sunday):
through (Saturday):
Contact
Employer Name
Employer Contact
Person Contacted
Method of Contact
Type of Work Sought
Results/Outcome
Date
Information (address, phone,
(if applicable)
e-mail)
CERTIFICATION STATEMENT:
I certify all information I have provided on this form is true and correct. I understand the law provides severe penalties for any person
making false statements or representation as to a material fact knowing the same to be false in order to receive benefits. A signature is required to be considered a completed
record.
_______________________________________________________________________
__________/_________/_____________
Claimant’s Signature
Date
DOL-2798 (R-01/13)
GEORGIA DEPARTMENT OF LABOR (GDOL)
WEEKLY WORK SEARCH RECORD
Name (please print):__________________________________________ Social Security Number: _______________________________
You must make at least three new job contacts each week. You are required to keep a detailed record of your work search activities and submit evidence of three verifiable contacts as a part of
your weekly certification. A claim week begins on Sunday and ends on Saturday at midnight. Your work search efforts are subject to audit by GDOL. Failure to submit a completed weekly
work search record for any week claimed, or listing any unverifiable contacts, may result in a denial and/or repayment of benefits.
Weekly work search records must be submitted by one of the following methods: Internet or fax. The faster, more preferred method is to submit by Internet. If you choose to fax your records, you
must submit this form completed with your signature to one of the following numbers: 404-525-3605, 404-525-3606 or 1-877-302-1573 (toll-free). Other work search forms will not be accepted. We
recommend you submit your work search immediately upon completing your weekly certification by Internet or Interactive Voice Response (IVR).
For each week claimed, record your work search activity on this form, completing all of the required information. The contact information provided must correspond with the week claimed. Retain a
copy of this form for your records.
(Please fill in the information below)
Report for the week of (Sunday):
through (Saturday):
Contact
Employer Name
Employer Contact
Person Contacted
Method of Contact
Type of Work Sought
Results/Outcome
Date
Information (address, phone,
(if applicable)
e-mail)
CERTIFICATION STATEMENT:
I certify all information I have provided on this form is true and correct. I understand the law provides severe penalties for any person
making false statements or representation as to a material fact knowing the same to be false in order to receive benefits. A signature is required to be considered a completed
record.
_______________________________________________________________________
__________/_________/_____________
Claimant’s Signature
Date
DOL-2798 (R-01/13)