Form EMS10313 "Job-Search Log" - Washington

What Is Form EMS10313?

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

Form Details:

  • Released on February 21, 2020;
  • The latest edition provided by the Washington State Employment Security Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form EMS10313 by clicking the link below or browse more documents and templates provided by the Washington State Employment Security Department.

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Download Form EMS10313 "Job-Search Log" - Washington

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Job-search log for week ending (Month/Day/Year) ________________________
MM/DD/YYYY
Name (Last, First, Middle): _______________________________________________________________________
ID or SSN:___________________________
INSTRUCTIONS: Please use dark ink only. Do not send your logs to us unless we ask for them. You must complete a log for each week you claim unemployment benefits. You must have a combined
total of three employer contacts or approved WorkSource activities each week. Keep your job-search log for at least 30 days after you receive your last benefit payment.
We may call the employers listed to verify that you contacted them for work. Providing false information is fraud that can result in a denial of your unemployment benefits and additional penalties.
You can get more logs at your local WorkSource office or online at
www.esd.wa.gov/job-search-log.
Refer to your Handbook for Unemployed Workers for further instructions on completing this log.
Employer contacts and job-search activities
Keep this log for your records.
CONTACT 3
CONTACT 1
CONTACT 2
Contact Date (MM/DD/YYYY):
____________
Contact Date (MM/DD/YYYY):
____________
Contact Date (MM/DD/YYYY):
____________
Was this an approved employer contact or WorkSource activity?
Was this an approved employer contact or WorkSource activity?
Was this an approved employer contact or WorkSource activity?
Choose one: o
Employer contact
WorkSource activity
Choose one: o
Employer contact
WorkSource activity
Choose one: o
Employer contact
WorkSource activity
o
o
o
employer
contact, please provide the following:
employer
contact, please provide the following:
employer
contact, please provide the following:
If this was an
If this was an
If this was an
Job title or job reference number:
Job title or job reference number:
Job title or job reference number:
__________________________________________________
__________________________________________________
__________________________________________________
Employer or business name:
Employer or business name:
Employer or business name:
__________________________________________________
__________________________________________________
__________________________________________________
How did you make the contact?
How did you make the contact?
How did you make the contact?
o In-person o Online o By phone o By Email o By mail
o In-person o Online o By phone o By Email o By mail
o In-person o Online o By phone o By Email o By mail
o Other:__________________________________________
o Other:__________________________________________
o Other:__________________________________________
Type of contact (Choose one)
Type of contact (Choose one)
Type of contact (Choose one)
o Application/resume o Interview o Inquiry
o Application/resume o Interview o Inquiry
o Application/resume o Interview o Inquiry
Employer or business contact information:
Employer or business contact information:
Employer or business contact information:
Address: ____________________________________________
Address: ____________________________________________
Address: ____________________________________________
City: ___________________________________ State: ______
City: ___________________________________ State: ______
City: ___________________________________ State: ______
Website or email address: _____________________________
Website or email address: _____________________________
Website or email address: _____________________________
Phone number: ______________________________________
Phone number: ______________________________________
Phone number: ______________________________________
WorkSource
activity, please
WorkSource
activity, please
WorkSource
activity, please
If this was an approved
If this was an approved
If this was an approved
provide the following information:
provide the following information:
provide the following information:
What activity did you complete:
What activity did you complete:
What activity did you complete:
____________________________________________________
____________________________________________________
____________________________________________________
Where did you complete this activity?
Where did you complete this activity?
Where did you complete this activity?
Office name: ________________________________________
Office name: ________________________________________
Office name: ________________________________________
City: _________________________________ State:________
City: _________________________________ State:________
City: _________________________________ State:________
The Employment Security Department is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals
EMS 10313 CC 7540-032-823 Rev 022120
with disabilities. Language assistance services for limited English proficient individuals are available free of charge. Washington Relay Service: 711
Job-search log for week ending (Month/Day/Year) ________________________
MM/DD/YYYY
Name (Last, First, Middle): _______________________________________________________________________
ID or SSN:___________________________
INSTRUCTIONS: Please use dark ink only. Do not send your logs to us unless we ask for them. You must complete a log for each week you claim unemployment benefits. You must have a combined
total of three employer contacts or approved WorkSource activities each week. Keep your job-search log for at least 30 days after you receive your last benefit payment.
We may call the employers listed to verify that you contacted them for work. Providing false information is fraud that can result in a denial of your unemployment benefits and additional penalties.
You can get more logs at your local WorkSource office or online at
www.esd.wa.gov/job-search-log.
Refer to your Handbook for Unemployed Workers for further instructions on completing this log.
Employer contacts and job-search activities
Keep this log for your records.
CONTACT 3
CONTACT 1
CONTACT 2
Contact Date (MM/DD/YYYY):
____________
Contact Date (MM/DD/YYYY):
____________
Contact Date (MM/DD/YYYY):
____________
Was this an approved employer contact or WorkSource activity?
Was this an approved employer contact or WorkSource activity?
Was this an approved employer contact or WorkSource activity?
Choose one: o
Employer contact
WorkSource activity
Choose one: o
Employer contact
WorkSource activity
Choose one: o
Employer contact
WorkSource activity
o
o
o
employer
contact, please provide the following:
employer
contact, please provide the following:
employer
contact, please provide the following:
If this was an
If this was an
If this was an
Job title or job reference number:
Job title or job reference number:
Job title or job reference number:
__________________________________________________
__________________________________________________
__________________________________________________
Employer or business name:
Employer or business name:
Employer or business name:
__________________________________________________
__________________________________________________
__________________________________________________
How did you make the contact?
How did you make the contact?
How did you make the contact?
o In-person o Online o By phone o By Email o By mail
o In-person o Online o By phone o By Email o By mail
o In-person o Online o By phone o By Email o By mail
o Other:__________________________________________
o Other:__________________________________________
o Other:__________________________________________
Type of contact (Choose one)
Type of contact (Choose one)
Type of contact (Choose one)
o Application/resume o Interview o Inquiry
o Application/resume o Interview o Inquiry
o Application/resume o Interview o Inquiry
Employer or business contact information:
Employer or business contact information:
Employer or business contact information:
Address: ____________________________________________
Address: ____________________________________________
Address: ____________________________________________
City: ___________________________________ State: ______
City: ___________________________________ State: ______
City: ___________________________________ State: ______
Website or email address: _____________________________
Website or email address: _____________________________
Website or email address: _____________________________
Phone number: ______________________________________
Phone number: ______________________________________
Phone number: ______________________________________
WorkSource
activity, please
WorkSource
activity, please
WorkSource
activity, please
If this was an approved
If this was an approved
If this was an approved
provide the following information:
provide the following information:
provide the following information:
What activity did you complete:
What activity did you complete:
What activity did you complete:
____________________________________________________
____________________________________________________
____________________________________________________
Where did you complete this activity?
Where did you complete this activity?
Where did you complete this activity?
Office name: ________________________________________
Office name: ________________________________________
Office name: ________________________________________
City: _________________________________ State:________
City: _________________________________ State:________
City: _________________________________ State:________
The Employment Security Department is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals
EMS 10313 CC 7540-032-823 Rev 022120
with disabilities. Language assistance services for limited English proficient individuals are available free of charge. Washington Relay Service: 711