Uc 304 PDF Details

Are you looking for a way to improve your UC application? The UC 304 form may be just what you need! This form is designed to help the admissions officeevaluate your academic record and other aspects of your application. In order to complete the UC 304 form, you will need to provide information about your high school courses and grades, as well as any college coursework you have completed.

You can find info about the type of form you intend to fill out in the table. It will tell you the span of time you will need to finish uc 304, exactly what parts you need to fill in, and so on.

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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