Form WS5 "Work Search Record" - New York

What Is Form WS5?

This is a legal form that was released by the New York State Department of Labor - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the New York State Department of Labor;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form WS5 by clicking the link below or browse more documents and templates provided by the New York State Department of Labor.

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Download Form WS5 "Work Search Record" - New York

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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
email, web site, etc.)
email, website/URL, fax
(if known)
response, not hired)
number)
John Smith,
1/2/2014
Clerk
ABC Industries
HR Director
email
j.smith@abcinc.com
Set up interview
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.
Work Search Activities:
Date of activity
Activity performed
1/3/2014
Attended a resume preparation workshop at the Career Center
Equal Opportunity Program - Auxiliary aids and services are available upon request to individuals with disabilities.
WS5 (04/15)
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
email, web site, etc.)
email, website/URL, fax
(if known)
response, not hired)
number)
John Smith,
1/2/2014
Clerk
ABC Industries
HR Director
email
j.smith@abcinc.com
Set up interview
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.
Work Search Activities:
Date of activity
Activity performed
1/3/2014
Attended a resume preparation workshop at the Career Center
Equal Opportunity Program - Auxiliary aids and services are available upon request to individuals with disabilities.
WS5 (04/15)
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:
(6)
Applying for employment with former employer(s).
Meeting with Career Center advisors;
(7)
Registering with and checking in with private employment
Getting information from Career Center staff about jobs
agencies, placement services, unions, and placement offices
that may be available in a particular industry or region
of schools, colleges or universities, and/or professional
(obtaining job market information);
organizations.
Working with Career Center staff to assess your skills
and match them to possible occupations and jobs
(8)
Using the telephone, business directories, internet, or online
(skills assessments for occupation matching);
job-matching systems to search for jobs, get leads, request
Participating in instructional workshops; and
referrals, or make appointments for job interviews.
Getting job referrals and job matches from the Career
Center and following up with employers.
(9)
Applying and/or registering for and taking Civil Service
Examination(s) for government job openings.
(2)
Visiting a job site and completing a job application in person
with employers who may be reasonably expected to have
Keep copies of your Work Search Records for one year. Do
openings.
not send your Work Search Record to the Department of
Labor unless we ask you to. You can get more forms at your
(3)
Submitting a job application and/or resume in response to a
local New York State Career Center, online at
public notice or want ad or to employers who may reasonably
www.labor.ny.gov
or in your claimant handbook. You may also
be expected to have openings.
keep your work search record online at www.jobzone.ny.gov.
(4)
Attending job search seminars, scheduled career networking
*If you have a Work Search Plan approved by the
meetings, job fairs, or employment-related workshops that
Department of Labor, you must do what was agreed upon in
offer instruction to improve job-hunting skills.
the plan, and record those activities on the Work Search
Record. We will check your Work Search Record to be sure
(5)
Interviewing with possible employers.
you are doing what is called for in your Work Search Plan.
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