Ws5 Form PDF Details

The WS5 form serves as a critical instrument for individuals claiming Unemployment Insurance benefits in New York State, meticulously designed to track and demonstrate job search efforts on a weekly basis. This document, not only a record but a mandatory requirement, encapsulates the claimant's proactive endeavors to secure employment, ranging from applications submitted to interviews attended and interactions with prospective employers. It is structured to note down specifics such as the date, type of activity performed, businesses contacted, and the outcome of such engagements, thereby ensuring a comprehensive account of the claimant’s job-hunting actions. Integral instructions delineated on the reverse side of the form guide claimants on the variety and nature of work search activities deemed acceptable, emphasizing the necessity of engaging in at least three distinct job search efforts weekly, with at least one originating from a prescribed list of five primary activities. Moreover, the form highlights the potential repercussions of falsifying search efforts, categorizing such acts as fraud that could lead to the denial of benefits. Additionally, it communicates the importance of retaining copies of the Work Search Record for a duration of one year and accommodates the digital recording of job search activities through the JobZone website, offering an alternative to the paper-based tracking. The WS5 form typifies a blend of accountability and assistance, aiming to streamline the unemployment benefit process while simultaneously supporting claimants in their pursuit of employment opportunities.

QuestionAnswer
Form NameWs5 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnys work record search, ny record form, new york department of labor work search record, ws5

Form Preview Example

Work Search Record

For Week Ending: _____/______/________

(Use Sunday date)

Last Name: _________________________________ First Name______________________ NYS ID#: NY_______________ or SS No: XXX-XX-__________

(Found at the top of appointment letters)

(Last four digits only)

This form may be used to record your work search activities. Instructions are on the back. You can also use the Work Search Record on our JobZone website instead of this form. Simply click on the JobZone Work Search link when you claim weekly Unemployment Insurance benefits online.

Businesses/Employers Contacted: List jobs you have applied for, interviews you have attended, and businesses/employers you have contacted during the week shown above. All columns should be filled in to the best of your ability. Use additional sheets of paper if needed. The first row is an example.

Date

Position

Business/Employer

Name and title

Method

Contact information for

Result of contact

of

applied

name

of person

of contact

method of contact listed

(if known)

contact

 

 

contacted

 

 

for

 

(In person, phone, fax,

(address, telephone number,

(Interview, waiting for

 

 

 

 

 

 

(if known)

email, web site, etc.)

email, website/URL, fax

response, not hired)

 

 

 

 

 

number)

 

 

 

 

John Smith,

 

 

 

1/2/2014

Clerk

ABC Industries

HR Director

email

j.smith@abcinc.com

Set up interview

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Search Activities: List things you did to find a job that were not business/employer contacts. See Instructions on the back for suggested activities. The first row is an example.

Date of activity

Activity performed

1/3/2014

Attended a resume preparation workshop at the Career Center

 

 

 

 

 

 

 

 

WS5 (04/15) Equal Opportunity Program - Auxiliary aids and services are available upon request to individuals with disabilities.

New York State Department of Labor

Work Search Record Instructions

You must actively look for work while claiming Unemployment Insurance benefits. You must keep a Work Search Record for each week you claim benefits and be prepared to give a copy of that Record to the New York State Department of Labor when requested. We will check the information on the form with the contacts listed. If you knowingly give us false statements about your work search activities, it is considered fraud and you may be denied Unemployment Insurance benefits.

You must do at least three work search activities each week, unless you have a Work Search Plan approved by the Department of Labor.* The three activities must be done on different days of the week. They must include at least one activity from Work Search Activities 1-5 (below). Two more activities must be completed and may be selected from the nine activities listed. This is the minimum criteria. You are encouraged to do more.

Work Search Activities: Work search activities may include, but are not limited to:

(1)Visiting a local New York State Career Center and:

•Meeting with Career Center advisors;

•Getting information from Career Center staff about jobs that may be available in a particular industry or region (obtaining job market information);

•Working with Career Center staff to assess your skills and match them to possible occupations and jobs (skills assessments for occupation matching);

•Participating in instructional workshops; and

•Getting job referrals and job matches from the Career Center and following up with employers.

(2)Visiting a job site and completing a job application in person with employers who may be reasonably expected to have openings.

(3)Submitting a job application and/or resume in response to a public notice or want ad or to employers who may reasonably be expected to have openings.

(4)Attending job search seminars, scheduled career networking meetings, job fairs, or employment-related workshops that offer instruction to improve job-hunting skills.

(5)Interviewing with possible employers.

(6)Applying for employment with former employer(s).

(7)Registering with and checking in with private employment agencies, placement services, unions, and placement offices of schools, colleges or universities, and/or professional organizations.

(8)Using the telephone, business directories, internet, or online job-matching systems to search for jobs, get leads, request referrals, or make appointments for job interviews.

(9)Applying and/or registering for and taking Civil Service Examination(s) for government job openings.

Keep copies of your Work Search Records for one year. Do not send your Work Search Record to the Department of Labor unless we ask you to. You can get more forms at your local New York State Career Center, online at www.labor.ny.gov or in your claimant handbook. You may also keep your work search record online at www.jobzone.ny.gov.

*If you have a Work Search Plan approved by the Department of Labor, you must do what was agreed upon in the plan, and record those activities on the Work Search Record. We will check your Work Search Record to be sure you are doing what is called for in your Work Search Plan.

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Part number 1 in filling out work search form

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Guidelines on how to fill out work search form portion 2

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3. This next portion is about Submitting a job application andor, Attending job search seminars, Interviewing with possible, and Applying andor registering for and - complete every one of these fields.

Part number 3 for filling in work search form

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