Unemployment Benefit Attendance Tracker Form
Please complete this form to record your attendance for unemployment benefit tracking. All fields are required unless marked otherwise.
Full Name
*
First Name
Last Name
Date of Attendance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Type
*
Please Select
Orientation
Job Search Workshop
Interview Coaching
Benefit Review Meeting
Other
Attendance Status
*
Present
Excused Absence
Unexcused Absence
Comments (optional)
Signature
*
Submit Attendance
Submit Attendance
Should be Empty: