Worksearch Log Form PDF Details

The Worksearch Log form serves as a vital tool for individuals seeking employment while receiving benefits from the Massachusetts Department of Unemployment Assistance (DUA). Crafted to ensure compliance and streamline the job search process, this form mandates claimants to engage in at least three distinct job search activities weekly, with each activity occurring on a separate day. It emphasizes the importance of maintaining a detailed record of these activities, including pertinent information such as the date of the activity, the type of job sought, the pay rate, and the employer's details. Providing this information upon request is crucial for claimants to continue receiving their benefits. Furthermore, the form acts as a reminder to print and bring along these logs to Career Center appointments, facilitating a more organized and productive discussion. The easy accessibility of the form either online or at local Career Centers underscores the DUA's commitment to supporting individuals in their pursuit of suitable employment. Through clear guidelines and mandatory documentation, the Worksearch Log form plays a pivotal role in ensuring accountability and fostering a proactive approach to job hunting, ultimately aiding claimants in their transition back to the workforce.

QuestionAnswer
Form NameWorksearch Log Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesunemployment work search log, work search log, how to fill out a work search log for unemployment massachusetts, how to fill out unemployment work search

Form Preview Example

W ORK SEARCH ACTIVITY LOG

The Massachusetts Department of Unemployment Assistance (DUA) requires that as a condition of eligibility you M UST :

Make at least 3 work searches per week. Each work search must be conducted on a different day;

Keep a detailed written log of your work search activities. Remember to bring printed completed copies of all Work Search Activity Logs to your Career Center appointments;

Provide your work search information to DUA upon request.

This log is provided to help you track your work search activities. Most likely you have done more, but you only need to list one activity on three (3) different days for each week claimed. I f you need additional logs, you can download a copy at www.mass.gov/ dua/ worksearch or obtain a copy at your local Career Center.

PRI NT A COPY OF WORK SEARCH ACTI VI TY LOG ( THIS FORM ) PRI OR TO SUBMI SSI ON.

Name

 

 

Social Security Number

 

 

 

 

 

 

Previous Occupation

 

Occupation of I nterest

 

 

Previous Pay Rate $

 

Minimum Acceptable Pay Rate $

 

Week beginning Sunday:

11 / 02 / 14

through Saturday: 11 / 08 / 14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JOB ID OR PERSON

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

 

 

 

 

 

PAY RATE

 

 

EMPLOYER/ ADDRESS/ TELEPHONE

CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

SAMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ABC Research, Incorporat ed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J obt own, M A

 

Informat ional Phone

M ade Net work

11/ 3 / 14

Analyst

 

 

 

 

 

 

 

 

 

$5 2 , 0 0 0 per year

 

 

5 0 8 - 774 - 9 8 76

J en Smit h

Int erview

Cont act

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J oe’s Diner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anyt own, M A

 

 

 

11/ 5 / 14

Cook

 

 

 

 

 

 

 

 

 

$12

per hour

 

 

5 0 8 - 79 1- 1110

J oe J ones

Walk- in

N o openings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cont act N ame or

 

 

11/ 7/ 14

Personal Trainer

$2 5

per hour

 

 

 

 

Personal Best Training

J ob ID N umber

Web

Closed

Week beginning Sunday:

/

 

/

 

 

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

 

 

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/ /

 

through Saturday:

/ /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

DATE

POSI TION

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

PHONE, MAI L, JOB FAIR,

 

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1750

REV 11-2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NETWORKI NG, ETC.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week beginning Sunday:

/

/

 

through Saturday:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW CONTACTED: (WEB,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE, MAI L, JOB FAIR,

 

DATE

POSI TION

 

 

 

PAY RATE

 

 

EMPLOYER ADDRESS/ TELEPHONE

PERSON CONTACTED

NETWORKI NG, ETC.)

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1750 REV 11-2014