ATTACHMENT FM-1120 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY 201 North First Street, San José, CA 95113 191 North First Street San José, California 95113 Family Justice Center PETITIONER: RESPONDENT: CASE NUMBER: SEEK WORK ORDER IT IS ORDERED THAT: 1. Petitioner Respondent shall make all reasonable good faith efforts to seek and obtain gainful employment in accordance with his/her skills and abilities. Failure to do so may result in the Court basing support on ability to earn for the purposes of determining child and spousal support. Failure to make good faith efforts may be considered by the court as a basis for modifying, setting, or terminating support. 2. The job seeker shall make at least ten (10) applications for jobs every week and shall immediately register with at least five (5) temporary employment agencies, including the One Stop Center in his/her county. The job seeker shall keep a written log of all efforts to obtain employment, including registering for work with temporary agencies during any periods of unemployment. The log shall be in writing on the form attached to this Order and shall include the name, address, telephone number, and email address, if applicable, of any application made, the date of the job application or interview, and the results of the application and any follow up done. Copies of the log shall be sent to the other party and his or her attorney on . Online job applications a monthly basis on or before the first of each month, starting alone shall not be sufficient to satisfy the requirements of this order to actively seek employment. YOU MUST BRING THE ORIGINAL LOGS TO THE NEXT COURT HEARING. Other Orders: 3. In the event that the job seeker becomes employed or self-employed, whether full time or part time, that party shall within 48 hours notify the other party or the attorney for the other party in writing of the name, telephone number, and address of the new employer, as well as the rate of pay. Any modification of support as a result of obtaining employment shall be effective as of the date of employment. If the job seeker has obtained employment before the next hearing, he or she is to bring copies of three (3) most recent pay stubs (if available) or a letter of employment for any periods of employment as well as the logs for any periods of unemployment. 4. The parties shall return on at a.m./ p.m. in Department before the Court Settlement Officer to review the efforts toward obtaining employment, to recommend additional or different efforts toward obtaining employment, and, if appropriate, to order recalculation of support based on the lack of good faith efforts toward obtaining employment, including the imputation of income. Such imputation and recalculation may relate back to the filing date of this order. NOTICE: FAILURE TO APPEAR FOR THE REVIEW HEARING ON THE DATE ABOVE MAY RESULT IN A SUPPORT ORDER BASED UPON AN IMPUTED OR ESTIMATED LEVEL OF YOUR INCOME WITHOUT YOUR APPEARANCE. SUPPORT MAY BE BASED UPON YOUR ABILITY TO EARN WHETHER OR NOT YOU ARE ACTUALLY EMPLOYED. Date: Judicial Officer of the Superior Court FM-1120 REV 1/1/14 SEEK WORK ORDER Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com WORK SEARCH REPORT REPORT PERIOD: TO: Please make multiple copies of this form for your use. Complete and sign each form. You must bring the originals to your next court hearing and make a copy for your records. # Date of Application Employer or Agency Name Contact Name and Number How did you apply? Position Applied for Results (interview, call back, etc.) Employment Agency? I declare under penalty of perjury under the laws of the State of California that the information contained in this report is true and correct. Date: FM-1120 REV 1/1/14 Signature: SEEK WORK ORDER CSB# (s) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com