WS 5 PDF Details

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.

QuestionAnswer
Form NameWS 5
Form Length2 pages
Fillable?Yes
Fillable fields83
Avg. time to fill out14 min
EditionRev 01/26
Issuing agencyNew York State Department of Labor
Matches the agency's fileYes, checked October 3, 2026
Other namesWS 5, WS5, Work Search Record, WS5 form, work search activities
Official sourceWS 5 (Rev 01/26), New York State Department of Labor