CC-1251 V2 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO ___________________________________ Plaintiff Vs ___________________________________ Defendant FILE STAMP Case No. ___________________ JOB SEARCH AFFIDAVIT Take this form with you when you go for a prospective job interview or application drop-off. Fill in the lines below completely with all the following information and have the contact person sign. You are to bring the completed form with you when you return to Court, along with any and all other documentation regarding your job search. Date Company Position Applied for Telephone Number Contact Person's Name Interview / Application Under penalty of perjury, provided by section 1-109 of the Code of Civil Procedure, I certify that the information contained herein is true and correct. Signature: _____________________________________________ Date: _________________________________ American LegalNet, Inc. www.FormsWorkFlow.com