ࡱ>   bjbjVV C<< RR8=M M M e R)2+ >,~<<<<<<<{?B<,'R),,<M e EI=...,:M e ~<.,~<..j27R9M Z-F82j<_=0= 92;CF-l;CdR9;CR9,,.,,,,,<<.,,,=,,,,;C,,,,,,,,,R [: For Extended-Benefit claimants only Job-Search Log for the week ending (Mo/Day/Yr)  FORMTEXT      / FORMTEXT      / FORMTEXT       NAME: FORMTEXT       FORMTEXT ID or SSN: FORMTEXT      Keep this log for your recordsINSTRUCTIONS: When you claim for Extended Benefits (EB), you must make a minimum of four employer contacts each week. In-person approved activities at your local WorkSource office DO NOT count while claiming EB. 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 can get more logs at your local WorkSource office or online at www.esd.wa.gov/job-search-log. If you apply online or respond to a newspaper ad, please attach a copy of the confirmation notice or ad if available. Refer to your Unemployment Claims Kit for further instructions on completing this log. Keep your logs. We may review them any time up to 60 days past the end of your benefit year or up to 30 days after receiving any benefits, whichever is later. 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. Contacts Keep this log for your recordsCONTACT 1 Staff use only ( SKIES ____  FORMTEXT       Contact date (Mo/Day/Yr) Check one AND list position or type of work applied for:  FORMCHECKBOX  Application/rsum  FORMCHECKBOX  Interview  FORMCHECKBOX  Inquiry Position:  FORMTEXT       How contacted:  FORMCHECKBOX  Online/email  FORMCHECKBOX  Fax  FORMCHECKBOX  In person  FORMCHECKBOX  Mail  FORMCHECKBOX  Kiosk  FORMCHECKBOX  Telephone  FORMCHECKBOX  Other (describe):  FORMTEXT      If employer contact was in person, by kiosk or by telephone, you MUST complete this section. Employer  FORMTEXT       Telephone ( FORMTEXT      )  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Name or position of person contacted  FORMTEXT      If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section. Employer name (if provided)  FORMTEXT       Website or email  FORMTEXT       Job reference number  FORMTEXT       If fax, provide the fax number ( FORMTEXT      )  FORMTEXT       Newspaper name  FORMTEXT       Publication date  FORMTEXT      CONTACT 2 Staff use only ( SKIES ____  FORMTEXT       Contact date (Mo/Day/Yr) Check one AND list position or type of work applied for:  FORMCHECKBOX  Application/rsum  FORMCHECKBOX  Interview  FORMCHECKBOX  Inquiry Position:  FORMTEXT       How contacted:  FORMCHECKBOX  Online/email  FORMCHECKBOX  Fax  FORMCHECKBOX  In person  FORMCHECKBOX  Mail  FORMCHECKBOX  Kiosk  FORMCHECKBOX  Telephone  FORMCHECKBOX  Other (describe):  FORMTEXT      If employer contact was in person, by kiosk or by telephone, you MUST complete this section. Employer  FORMTEXT       Telephone ( FORMTEXT      )  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Name or position of person contacted  FORMTEXT      If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section. Employer name (if provided)  FORMTEXT       Website or email  FORMTEXT       Job reference number  FORMTEXT       If fax, provide the fax number ( FORMTEXT      )  FORMTEXT       Newspaper name  FORMTEXT       Publication date  FORMTEXT      For official use onlyWeek being verifiedEntitlement FORMCHECKBOX  RescheduleWS office name or #Claims Center #Staff initials EMS 10313-EB Rev 8/11 For Extended-Benefit claimants only Job-Search Log for the week ending (Mo/Day/Yr)  FORMTEXT      / FORMTEXT      / FORMTEXT       NAME: FORMTEXT       FORMTEXT ID or SSN: FORMTEXT      INSTRUCTIONS: When you claim for Extended Benefits (EB), you must make a minimum of four employer contacts each week. In-person approved activities at your local WorkSource office DO NOT count while claiming EB. 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 can get more logs at your local WorkSource office or online at www.esd.wa.gov/job-search-log. If you apply online or respond to a newspaper ad, please attach a copy of the confirmation notice or ad if available. 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Contacts Keep this log for your recordsCONTACT 3 Staff use only ( SKIES ____  FORMTEXT       Contact date (Mo/Day/Yr) Check one AND list position or type of work applied for:  FORMCHECKBOX  Application/rsum  FORMCHECKBOX  Interview  FORMCHECKBOX  Inquiry Position:  FORMTEXT       How contacted:  FORMCHECKBOX  Online/email  FORMCHECKBOX  Fax  FORMCHECKBOX  In person  FORMCHECKBOX  Mail  FORMCHECKBOX  Kiosk  FORMCHECKBOX  Telephone  FORMCHECKBOX  Other (describe):  FORMTEXT      If employer contact was in person, by kiosk or by telephone, you MUST complete this section. Employer  FORMTEXT       Telephone ( FORMTEXT      )  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Name or position of person contacted  FORMTEXT      If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section. Employer name (if provided)  FORMTEXT       Website or email  FORMTEXT       Job reference number  FORMTEXT       If fax, provide the fax number ( FORMTEXT      )  FORMTEXT       Newspaper name  FORMTEXT       Publication date  FORMTEXT      CONTACT 4 Staff use only ( SKIES ____  FORMTEXT       Contact date (Mo/Day/Yr) Check one AND list position or type of work applied for:  FORMCHECKBOX  Application/rsum  FORMCHECKBOX  Interview  FORMCHECKBOX  Inquiry Position:  FORMTEXT       How contacted:  FORMCHECKBOX  Online/email  FORMCHECKBOX  Fax  FORMCHECKBOX  In person  FORMCHECKBOX  Mail  FORMCHECKBOX  Kiosk  FORMCHECKBOX  Telephone  FORMCHECKBOX  Other (describe):  FORMTEXT      If employer contact was in person, by kiosk or by telephone, you MUST complete this section. Employer  FORMTEXT       Telephone ( FORMTEXT      )  FORMTEXT       Address  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Name or position of person contacted  FORMTEXT      If employer contact was made online, by email, by fax or by newspaper, you MUST complete the appropriate information in this section. Employer name (if provided)  FORMTEXT       Website or email  FORMTEXT       Job reference number  FORMTEXT       If fax, provide the fax number ( FORMTEXT      )  FORMTEXT       Newspaper name  FORMTEXT       Publication date  FORMTEXT      For official use onlyWeek being verifiedEntitlement FORMCHECKBOX  RescheduleWS office name or #Claims Center #Staff initials The Employment Security Department is an equal opportunity employer and provider of programs and services. Auxiliary aids and services are available upon request to persons with disabilities. Auxiliary aids may include qualified interpreters and telecommunication devices (TTY) for hearing or speech impaired individuals. Individuals with limited English proficiency may request interpretive services free of charge to the customer in order to conduct business with the department.     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