Uc 304 PDF Details

Embarking on the journey of unemployment can often be a complex and daunting process, yet the UC-304 form serves as a critical facet in navigating these waters, especially for residents within Pennsylvania. Mandated by the Department of Labor & Industry Office of Unemployment Compensation Benefits, this form functions as a work search record, meticulously documenting an individual's endeavors in seeking employment for each week, from Sunday through Saturday. Its primary purpose is not just record-keeping; it is an essential criterion to prove one's eligibility for unemployment compensation benefits. As stipulated, to remain eligible, claimants are required to complete this form with details encompassing job applications, interviews, and other job-seeking activities undertaken, alongside providing contact information for potential employers. This document, referenced alongside the Pennsylvania UC Handbook (Form UCP-1), elaborately specifies the necessary steps and instructions, further emphasizing its significance. Moreover, for those navigating part-time work, the form includes provisions to record earnings exceeding the Partial Benefit Credit, attesting to its comprehensive nature in addressing various employment statuses. Additionally, it underscores legal responsibilities and the repercussions of falsification, reinforcing the integrity of the unemployment benefits system. Thus, the UC-304 form stands as a testament to the structured approach adopted by Pennsylvania in supporting its citizens through unemployment, highlighting the balance between assistance and accountability.

QuestionAnswer
Form NameUc 304
Form Length1 pages
Fillable?Yes
Fillable fields57
Avg. time to fill out11 min 43 sec
Other namespa uc 304, pennsylvania 304, pa 304 form, uc form

Form Preview Example

DEPARTMENT OF LABOR & INDUSTRY

OFFICE OF UNEMPLOYMENT COMPENSATION BENEFITS

WORK SEARCH RECORD

WORK SEARCH RECORD FOR WEEK BEGINNING SUNDAY

THROUGH SATURDAY

To be eligible for UC benefits, complete the work search record below. Refer to your Pennsylvania UC Handbook (Form UCP-1) or go to www.uc.pa.gov for complete instructions or to print additional copies of this form.

If you are working part-time, and earning more than your Partial Benefit Credit, initial here

 

JOB APPLICATIONS/INTERVIEWS

 

 

 

 

 

WORK SEARCH ACTIVITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#1

Date of Application

 

 

or Date of Interview

 

 

 

Date of Activity

 

 

 

 

Employer

 

 

 

 

 

 

Type of Activity

 

 

 

Employer Contact Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Phone/Email

 

 

 

 

 

 

Location of Activity

 

 

 

 

How did you apply for the job

 

 

 

 

 

 

Contact Name

 

 

 

 

Results

 

 

 

 

 

Contact Phone/Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#2

Date of Application

 

 

or Date of Interview

 

 

 

Date of Activity

 

 

 

 

Employer

 

 

 

 

 

 

Type of Activity

 

 

 

Employer Contact Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Phone/Email

 

 

 

 

 

 

Location of Activity

 

 

 

 

How did you apply for the job

 

 

 

 

 

 

Contact Name

 

 

 

 

Results

 

 

 

 

 

Contact Phone/Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#3

Date of Application

 

 

or Date of Interview

 

 

 

Date of Activity

 

 

 

 

Employer

 

 

 

 

 

 

Type of Activity

 

 

 

Employer Contact Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Phone/Email

 

 

 

 

 

 

Location of Activity

 

 

 

 

How did you apply for the job

 

 

 

 

 

 

Contact Name

 

 

 

 

Results

 

 

 

 

 

Contact Phone/Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXEMPTION

 

Employer/Hiring Hall Name

Contact Name

Contact Phone/Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Written Date of Recall (attach copy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Union Hiring Hall

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that all information I have provided in this document is correct and complete. I acknowledge that false statements in this document are punishable pursuant to 18 Pa.C.S. §4904, relating to unsworn falsification to authorities.

First Name

 

M.I.

 

Last Name

 

 

 

 

Social Security Number XXX-XX- __ __ __ __ (last 4 digits)

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A person who knowingly makes a false statement or knowingly withholds information to obtain UC benefits commits a criminal offense under Section 801 of the UC Law, 43 P.S. §871, and may be subject to a fine, imprisonment, restitution and loss of future benefits.

UC-304 REV 08-18 (Page 1)

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