This form may be used to record your work search activities.
Week ending: use the Sunday date.
JobZone: you can also use the Work Search Record on the JobZone website instead of this form.
Entries: make sure the below charts show at least three separate entries or that you record three separate activities per week on JobZone.
Record: you must keep a Work Search Record for each week you claim benefits and be prepared to give a copy to the New York State Department of Labor when requested.
Keep copies: keep copies of your Work Search Records for one year.
False statements: if you knowingly give false statements about your work search activities, it is considered fraud and you may be denied Unemployment Insurance benefits.
| Question | Answer |
|---|---|
| Form Name | WS 5 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 83 |
| Avg. time to fill out | 14 min |
| Edition | Rev 01/26 |
| Issuing agency | New York State Department of Labor |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | WS 5, WS5, Work Search Record, WS5 form, work search activities |
| Official source | WS 5 (Rev 01/26), New York State Department of Labor |
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