Verification of Hours - Workforce Solutions logo 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Social Security Number in the designated fields at the top of the form.
3. Fill in your Employer or School Name, followed by the complete address including street, city, state, and ZIP code.
4. Provide the name and telephone number of your Supervisor, Professor, or other contact person.
5. Select one option from the checkboxes indicating your current status: Employed, Community Service, Attending School, etc.
6. Input the week beginning date (Sunday) and week ending date (Saturday) for which you are reporting hours.
7. Enter the total hours worked during that week and any hours paid for holidays or leave.
8. Indicate whether you are making satisfactory progress in school by selecting Yes, No, or Not attending school.
9. Ensure to sign where indicated to certify that all information is accurate before submitting.

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