Nhep223 form is a document that is used to declare the income and assets of a household. It is used to ensure that individuals are paying their fair share of taxes. The form must be completed by all taxpayers in Cambodia. The information obtained from the form will help the government to enforce tax laws and assess social welfare benefits. completing this form accurately is critical, so make sure you have all the required information before you begin.
| Question | Answer |
|---|---|
| Form Name | Forms Nhep223 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | DFA_NHEP223JSL job search forms for nhep |
NH Department of Health and Human Services (DHHS) NH Employment Program (NHEP)
Job Search Log
Form NHEP223 8/11
Participant Name:
RID #: |
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Begin Date: |
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End Date: |
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Employment Counselor: |
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IMPORTANT: Submit Weekly to NHEP
Instructions: Be sure to completely fill out this form showing exactly where or how you looked for a job. Remember to show how much time you spent for each job search activity, as follows: 15 minutes = .25 hours, 30 minutes = .50 hours, 45 minutes = .75 hours and 1.00 = 1 hour. Also, show the number of miles you drove to and from your home, childcare provider, and between job search locations. NOTE: Travel time for the first and last job contact of the day cannot be included in the Time Spent column.
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Point of Contact: |
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Check Action You Took |
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Check How You Took Action |
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Time Spent |
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Phone #, or |
Name of person, |
Job Title or Type of |
Applicationor |
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Researchor |
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orOnlineFax |
EmailorMail |
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Date of Activity |
(see |
Miles Driven Name of Employer |
Address, Website, |
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PersonIn |
Telephone |
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Address |
Work Sought |
Resume |
Interview |
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Instructions) |
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Job ID # or |
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Newspaper |
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COLU M N |
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Add all time, from the front and back of form, spent in job search per day and enter the totals below. (Form must be completed to be accepted by NHEP) |
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(Continue on back) |
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Saturday |
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
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T he se t ot a ls ne e d t o m a t c h! |
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ROW |
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Date: |
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Date: |
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Date: |
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Date: |
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Date: |
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Date: |
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Date: |
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Row T ot a l |
Colum n T ot a l |
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Hours: |
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Hours: |
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Hours: |
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Hours: |
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Hours: |
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Hours: |
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Hours: |
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By subm it t ing t his doc um e nt t o N H EP, I a t t e st t ha t t he a bove hours a nd inform a t ion a re t rue a nd a c c ura t e . Participant Signature: |
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NHEP Comments: |
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Date entered by NHEP: |
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NHEP Signature/Initials: |
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DFA SR |
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(3YC) |
Point of Contact: |
Check Action You Took |
Check How You Took Action |
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Time Spent |
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Phone #, or |
Name of person, |
Job Title or Type of |
Application or |
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Online or Fax |
Mail or Email |
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Date of Activity |
(see |
Miles Driven |
Name of Employer |
Address, Website, |
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Research or |
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Telephone |
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Address |
Work Sought |
Resume |
Interview |
In person |
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Instructions) |
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Job ID # or |
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Newspaper |
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COLU M N |
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