Wa State Unemployment Job Form PDF Details

In the journey of navigating unemployment benefits, adhering to the requirements set forth by the Employment Security Department is crucial. Among the indispensable tools provided by the state of Washington to those seeking employment opportunities while receiving unemployment benefits is the Wa State Unemployment Job-Search Log. This document serves as a weekly testament to the efforts made by individuals in their quest for employment. Each beneficiary is mandated to engage in a minimum of three employer contacts or approved job-search activities weekly. The intricacy of the form demands attention to detail - from logging the type of work applied for, to recording the specifics of each employer contact or job-search activity undertaken, be it in person, online, via email, or through other avenues. Crucially, these logs are not to be submitted routinely but must be maintained diligently for potential review by the department, which could extend up to 60 days beyond the benefit year or up to 30 days following the receipt of any benefits. With the possibility of verification calls being made to listed employers and the stark warning that providing false information could lead to the denial of benefits and additional penalties, the solemnity of maintaining an accurate and truthful job-search log cannot be overstated. This form is accessible both at local WorkSource offices and online, underscoring the commitment of the WorkSource/Employment Security Department to support individuals with disabilities, providing auxiliary aids and services upon request, and offering language assistance for those with limited English proficiency, thereby encapsulating the inclusive spirit championed by Washington State.

QuestionAnswer
Form NameWa State Unemployment Job Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesjob log for unemployment make, esd job search log, washington state unemployment job search log review, washington unemployment job search log

Form Preview Example

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job-Search Log for the week ending (Mo/Day/Yr)

______ /______ / _______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

ID or SSN:

 

Keep this log for your records*

Instructions: Please use dark ink only. Do not send your logs to us unless we ask for them. You must complete a log for each week you claim unemployment benefits. You must have a combined total of three employer contacts or approved job-search activities each week. Keep your logs. * We may review them any time up to 60 days past the end of your benefit year or up to 30 days after receiving any benefits, whichever is later. We may call the employers listed to verify that you contacted them for work. Providing false information is fraud that can result in a denial of your unemployment benefits and additional penalties.

You can get more logs at your local WorkSource office or online at www.esd.wa.gov/job-search-log. If you apply online or respond to a newspaper ad, please attach a copy of the confirmation notice or ad if available. Refer to your Handbook for Unemployed Workers for further instructions on completing this log.

 

Contacts and job-search activities

 

 

Keep this log for your records

 

 

 

 

 

 

 

 

 

 

FOR EMPLOYER CONTACT, check one AND list

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

 

 

 

 

 

 

 

 

 

position or type of work applied for:

 

Employer

Telephone

(

............ )

 

 

 

 

 

Contact date

 

Application/résumé

 

Interview

Inquiry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Mo/Day/Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

Position:

 

 

Name or position of person contacted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How contacted:

 

 

 

 

 

 

 

 

 

CONTACT

 

 

 

 

 

 

 

 

Job reference number

 

 

 

 

 

 

Employer

 

Online/email

Fax

In person

 

 

 

 

 

 

 

 

 

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

 

 

 

 

 

 

contact

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail

Kiosk

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer name (if provided)

Website or email

 

 

 

 

 

 

 

OR

 

Other (describe):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR WORKSOURCE ACTIVITY, briefly describe:

If fax, provide the fax number (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WorkSource

 

 

 

 

 

Newspaper name

 

Publication date

 

 

 

 

 

 

activity

............................................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR EMPLOYER CONTACT, check one AND list

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

 

 

 

 

 

 

 

 

 

position or type of work applied for:

 

Employer

Telephone

(

............ )

 

 

 

 

 

Contact date

 

Application/ résumé

 

Interview

Inquiry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Mo/Day/Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

State

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position:

 

 

 

 

 

 

 

 

 

CONTACT

 

 

 

 

 

 

 

Name or position of person contacted

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

 

 

 

How contacted:

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

Online/email

Fax

In person

 

 

 

 

 

 

 

 

 

 

 

contact

 

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail

Kiosk

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer name (if provided)

Website or email

 

 

 

 

 

 

 

 

 

 

Other (describe):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job reference number

 

 

 

 

 

 

 

 

 

 

FOR WORKSOURCE ACTIVITY, briefly describe:

If fax, provide the fax number (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WorkSource

 

 

 

 

 

Newspaper name

 

Publication date

 

 

 

 

 

 

activity

............................................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR EMPLOYER CONTACT, check one AND list

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

 

 

 

 

 

 

 

 

 

position or type of work applied for:

 

Employer

Telephone

(

............ )

 

 

 

 

 

Contact date

 

Application/ résumé

 

Interview

Inquiry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Mo/Day/Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

State

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name or position of person contacted

 

 

 

 

 

CONTACT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How contacted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Online/email

Fax

In person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contact

 

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

 

 

 

 

 

 

 

Mail

Kiosk

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

Other (describe):

 

 

 

Employer name (if provided)

Website or email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job reference number

 

 

 

 

 

 

 

 

 

 

FOR WORKSOURCE ACTIVITY, briefly describe:

If fax, provide the fax number (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WorkSource

............................................................................................

Newspaper name

 

Publication date

 

 

 

 

 

 

activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WorkSource/Employment Security Department is an equal opportunity employer/ program. Auxiliary aids and services are available upon request to individuals with disabilities.

EMS 10313 CC 7540-032-823 Rev 8/18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Language assistance services for limited English proficient individuals are available free of charge. Washington Relay Service: 711.

 

 

 

Job-Search Log for the week ending (Mo/Day/Yr)

______ /______ / _______

Keep this log for your records*

Name:

 

 

ID or SSN:

 

 

 

Instructions: Please use dark ink only. Do not send your logs to us unless we ask for them. You must complete a log for each week you claim unemployment benefits. You must have a combined total of three employer contacts or approved job-search activities each week. Keep your logs. * We may review them any time up to 60 days past the end of your benefit year or up to 30 days after receiving any benefits, whichever is later. We may call the employers listed to verify that you contacted them for work. Providing false information is fraud that can result in a denial of your unemployment benefits and additional penalties.

Contacts and job-search activities

 

FOR EMPLOYER CONTACT, check one AND list

 

position or type of work applied for:

 

Contact date

 

Application/ résumé

Interview

Inquiry

(Mo/Day/Yr)

 

 

 

4

 

Position:

 

CONTACT

 

 

Employer

How contacted:

 

 

 

 

 

 

contact

Online/email

Fax

In person

 

 

 

OR

Mail

Kiosk

Telephone

 

 

 

 

 

 

Other (describe):

 

 

WorkSource

FOR WORKSOURCE ACTIVITY, briefly describe:

 

activity

 

 

 

 

 

............................................................................................

 

 

 

 

 

 

 

 

 

 

Keep this log for your records

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

Employer

Telephone (

)

Address

City

State

Name or position of person contacted

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

Employer name (if provided)

Website or email

Job reference number

If fax, provide the fax number (

)

Newspaper name

Publication date

 

 

 

 

 

 

FOR EMPLOYER CONTACT, check one AND list

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

 

 

 

 

 

 

 

 

 

position or type of work applied for:

 

 

 

 

 

 

 

 

 

 

 

Contact date

 

 

 

Employer

Telephone

(

............ )

 

 

 

 

Application/ résumé

 

Interview

Inquiry

 

 

 

(Mo/Day/Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

 

State

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position:

 

 

 

 

 

 

 

 

 

CONTACT

 

 

 

 

 

 

 

 

Name or position of person contacted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

How contacted:

 

 

 

 

 

 

 

 

 

 

 

 

contact

 

Online/email

Fax

In person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

 

 

 

 

 

Mail

Kiosk

Telephone

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer name (if provided)

Website or email

 

 

 

 

 

 

 

 

Other (describe):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job reference number

 

 

 

 

 

 

 

WorkSource

 

FOR WORKSOURCE ACTIVITY, briefly describe:

If fax, provide the fax number (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

............................................................................................

 

Newspaper name

 

Publication date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR EMPLOYER CONTACT, check one AND list

If employer contact was in person, by kiosk or by telephone, you MUST complete this section.

 

 

 

 

 

 

 

 

 

 

position or type of work applied for:

 

 

Employer

Telephone

(

............ )

 

 

 

Contact date

 

Application/ résumé

 

Interview

Inquiry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Mo/Day/Yr)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

 

State

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position:

 

 

 

 

 

 

 

 

 

CONTACT

 

 

 

 

 

 

 

 

Name or position of person contacted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How contacted:

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Online/email

Fax

In person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contact

 

 

 

If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section.

 

 

 

Mail

Kiosk

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

Other (describe):

 

 

 

Employer name (if provided)

Website or email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job reference number

 

 

 

 

 

 

 

 

 

 

FOR WORKSOURCE ACTIVITY, briefly describe:

If fax, provide the fax number (

)

 

 

 

 

 

 

WorkSource

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activity

............................................................................................

 

Newspaper name

 

Publication date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WorkSource/Employment Security Department is an equal opportunity employer/ program. Auxiliary aids and services are available upon request to individuals with disabilities. Language assistance services for limited English proficient individuals are available free of charge. Washington Relay Service: 711.

How to Edit Wa State Unemployment Job Form Online for Free

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This PDF form will require particular information to be entered, therefore make sure you take some time to enter what's requested:

1. Fill out your job log esd with a group of major blanks. Consider all the important information and make sure there's nothing overlooked!

Filling in section 1 of wa ui job log

2. When the prior part is done, go to type in the applicable information in these: T C A T N O C, T C A T N O C, Contact date MoDayYr, Employer, contact, WorkSource, activity, Contact date MoDayYr, FOR EMPLOYER CONTACT check one AND, Application résumé, Interview, Inquiry, Position, How contacted, and Onlineemail.

wa ui job log conclusion process explained (stage 2)

3. The following portion will be about JobSearch Log for the week ending, Keep this log for your records, ID or SSN, Contacts and jobsearch activities, Keep this log for your records, T C A T N O C, T C A T N O C, Contact date MoDayYr, Employer, contact, WorkSource, activity, Contact date MoDayYr, Employer, and contact - type in each of these empty form fields.

Employer, Keep this log for your records, and activity of wa ui job log

4. To go forward, your next stage will require completing several blanks. These include T C A T N O C, T C A T N O C, contact, WorkSource, activity, Contact date MoDayYr, Onlineemail, Fax, In person, Mail, Kiosk, Telephone, Other describe, FOR WORKSOURCE ACTIVITY briefly, and If employer contact was made, which are vital to carrying on with this particular PDF.

Ways to complete wa ui job log step 4

You can easily get it wrong when filling out your If employer contact was made, thus ensure that you look again prior to deciding to send it in.

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