Work Search Record PDF Details

In the quest to ensure that individuals receiving unemployment benefits are actively seeking work, the State of Illinois Department of Employment Security mandates the use of the Work Search Record form. This essential document is designed to meticulously track and record job search efforts, ensuring claimants meet the requirements set forth by the agency. Each section of the form requires detailed entries including the date, contact name, address of the contact, method of contact, type of work sought, and the results of each job-seeking effort. With stern warnings against the failure to provide all requested information—stressing that such omissions may lead to a denial of benefits—the form underlines the importance of conscientious record-keeping. Moreover, the document comes with a crucial reminder for claimants to retain their work search records for no less than 53 weeks from the end of the claimed week. This instruction underscores the possibility of retroactive checks on the claimant's job search activities, even after benefits have been paid or employment has resumed, especially if there's an appeal concerning the claimant's job search efforts. Hence, the Work Search Record form stands as a pivotal tool in the administration of unemployment benefits, encapsulating the rigorous standards and expectations placed upon claimants to actively pursue employment while receiving support.

QuestionAnswer
Form NameWork Search Record
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshow to illinois ides search, illinois work search form, work search form ides, how to ides work

How to Fill Out Form ADJ034F

Form ADJ034F at a glance

What it is: State of Illinois Department of Employment Security Work Search Record.

A filled-in Form ADJ034F example: a claimant lists three work search contacts for one week

Form ADJ034F example filled out, example: a claimant lists three work search contacts for one week
Jordan Sample keeps a Work Search Record for one week. Jordan made three work search contacts that week, so contact rows 4 and 5 stay empty. The picture shows page 1; none of its entries is real. The second Week Ending is left blank because Jordan reports only one week.

How to fill out Form ADJ034F, box by box

Claimant Information

Form ADJ034F example filled out, claimant Information

Under Claimant Information, enter Last Name, First Name, MI and ID or SSN.

Week Ending

Form ADJ034F example filled out, week Ending

Under Week Ending, enter the Contact Date, Name & Address of Contact, Person Contacted, Method of Contact, Type of Work Sought and Results.

More rules for Form ADJ034F

Use this form to keep a record of the work search efforts you made.

Be sure that all requested information is provided. Failure to do so may result in a denial of benefits.

If you need additional pages, contact your local office or duplicate this form.

Do not discard your written work search record for any week being claimed until 53 weeks have passed from the end of that week.

If there is an appeal pending regarding your active work search for a week, keep your written work search record until there has been a final resolution of the matter.

A determination that you were actively seeking work during a week being claimed is subject to reconsideration despite the fact that you have been paid benefits or returned to work.

Sources

[1] Form ADJ034F (09/2011), Work Search Record, Illinois Department of Employment Security (the Official source link on this page).

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