WORK SEARCH RECORD EMPLOYEE: DATE OF INJURY: DATE BUSINESS NAME BUSINESS ADDRESS WAS CONTACT MADE? HOW? CONTACT PERSON POSITION HOW DID YOU LEARN ABOUT THE JOB? DID YOU APPLY? RESULTS Please return this form to your attorney or advocate. If you have any questions, please contact your attorney or advocate. WCB-205 (eff. 9/1/18) American LegalNet, Inc. www.FormsWorkFlow.com