Verification Of Diligent Job Search {FM-055}

STATE OF MAINE DISTRICT COURT Location ____________________ Docket No. ___________________ (Name) VERIFICATION OF DILIGENT JOB SEARCH M.R. Civ. P. 107(a)(11) Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Date of Contact: Date of Contact: Date of Contact: Date of Contact: Date of Contact: Date of Contact: Date of Contact: Date of Contact: Date of Contact: This form must be completed and filed with the Court Clerk by FM-055, Rev. 04/14 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com