Job search requirements
To continue receiving benefits, you must:
Look for work at least:
3 times per week
You must also keep a record of your work searches.
If you are a union member and may only accept work through your union,
you must keep track of all contacts between you and the Union.
Job search log
Name: Claimant ID:
To continue receiving benefits, you must look for work at least 3 times per week. You must also keep a record of your work searches.
Week starting Sunday (date): Click here to enter a date. – Saturday (date): Click here to enter a date.
Employer name and address/Employer website
☐ Online ☐ Phone ☐ Email
☐ Mail ☐ In Person
Contact phone number:
Contact email:
Action taken:
☐ Submitted job application ☐ Asked about available work ☐ Job fair
☐ Networking ☐ Other
☐ Online ☐ Phone ☐ Email
☐ Mail ☐ In person
Contact phone number:
Contact email:
Action taken:
☐ Submitted job application ☐ Asked about available work ☐ Job fair
☐ Networking ☐ Other
☐ Online ☐ Phone ☐ Email
☐ Mail ☐ In person
Contact phone number:
Contact email:
Action taken:
☐ Submitted job application ☐ Asked about available work ☐ Job fair
☐ Networking ☐ Other
FAILURE TO SUBMIT A COMPLETE FORM MAY RESULT IN DISQUALIFICATION FROM RECEIVING BENEFITS AND A POTENTIAL OVERPAYMENT FOR BENEFITS
ALREADY RECEIVED.
Include any documentation related to the work search activity listed above such as email with employer, job application receipt, job posting, job fair announcement, networking club
information, or MassHire Career Center services.
Use this work search log to:
Record your job search activities
Take to your MassHire Career Center appointments, and
Verify you are looking for work if you are randomly selected.
Get more copies of this form at any MassHire Career Center or at: www.mass.gov/dua/forms.
