This government document is issued by Department of Labor for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dol.georgia.gov/document/unemployment-benefits/ui-weekly-work-search-record-dol-2798/download&sa=U&ved=2ahUKEwiOs9jakpeHAxUg9bsIHahVBcY4UBAWegQIBRAB&usg=AOvVaw3W7WUeyQ-1GzJFs4VMlC-G&fexp=72519171,72519168