Work Search Report {FL12071}

FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: WORK SEARCH REPORT (Pursuant to Family Code § 4505) CASE NUMBER: INSTRUCTIONS: Pursuant to a Seek Work Order, please make multiple copies of this form for your use, then complete and sign each form. Keep the original for your records and for use at future court hearings. You must mail copies to the other party. Submit the Work Search Report every _________ weeks. PERIOD REPORTED: From ______________________ To _____________________________ DATE OF WORK APPLICATION EMPLOYER'S NAME, ADDRESS, PHONE #; NAME & TITLE OF CONTACT PERSON SIGNATURE BY CONTACT PERSON OR OTHER WRITTEN VERIFICATION APPLICATION SUBMITTED CONTACT RESULTS OR HOURS WORKED RATE OF GROSS INCOME I declare under penalty of perjury under the laws of the State of California that this report is true and correct. Date: _________, 20___ ___________________________________ Signature _____________________________________________________ Print Name _____________________________________________________ Address _____________________________________________________ Yuba County Superior Court 2/17/12 WORK SEARCH REPORT (Pursuant to Family Code § 4505) FL12071 American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER: PROOF OF SERVICE BY MAIL [CCP §1013 (a)] I am over the age of 18, F not a party to this matter F is a party to this matter, and a resident or employed in the county where the mailing took place. My residence/business address is ____________________________________________________ I served copies of this Work Search Report by enclosing them in a sealed envelope with postage fully prepaid, and depositing them in the United States mail at __________________________________, California, addressed as follows: ____________________________ Name of Party/Attorney of Record ____________________________ Address ____________________________ City State & zip code ____________________________ Name of Party/Attorney of Record ____________________________ Address ____________________________ City State & zip code ____________________________ Name of Party/Attorney of Record ____________________________ Address ____________________________ City State & zip code I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (Pursuant to CCP §2015.5) Dated: ___________________ __________________________ Signature of declarant Yuba County Superior Court 2/17/12 PROOF OF SERVICE BY MAIL [CCP §1013(a)] FL12071 American LegalNet, Inc. www.FormsWorkFlow.com