Work Search Log Form

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WORK SEARCH LOG
Do
turn this log in to UI or the job centers. This log is for your records only.
You are filing for Unemployment Insurance (UI) benefits. You must actively seek work starting with the week in which you filed
your claim unless we have instructed you otherwise.
The following is considered a valid work search contact: contact with an employer who may reasonably be expected to have job openings suitable to
your skills and training. While receiving UI benefits you are required to make contact with the employer or a person with the authority to hire in
order to be considered to have conducted a work search. The method of contact with the employer is appropriate based on the standard for the type
of work sought with that employer.
A valid work search contact does not include: contact the Job Center office unless that is the method the employer has requested, contact with a
private employment agency where a fee is charged; or a call to the UI Claim Center.
The work search contact(s) information you provided when filing for your weekly UI benefits may be audited. Failure to report valid work search
contact(s) will lead to benefits being denied, which could result in establishing an over payment. For more information, see the “audit” section of
your UI Handbook, or the latest online version
at: labor.alaska.gov/esd_unemployment_insurance/home.htm.
You will be asked for your work search information when you file for your weekly benefits.
DO NOT turn this log into UI or the job centers. This log is for your records only.
Date of contact
Method of contact
Employer/business name
(mm/dd/yyyy)
Phone/fax number or email address, or website address, or address
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________
Email _______________________ Website_____________________________
Address __________________________________________________________
City ________________________ State___ Phone/fax __________________

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