STATE OF MAINE DISTRICT COURT Location ____________________ Docket No. ___________________
(Name)
VERIFICATION OF DILIGENT JOB SEARCH
Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No: Name of Business: Contact Person: Telephone No:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
Date of Contact:
This form must be completed and filed with the Court Clerk by
CV-055, 04/98 PAN