Brief Adjudicative Proceeding Work Search Declaration

Claimant Name
Address
I am the (check one)

Please answer all of the following questions. Some of the questions may have been asked during the Employment Security Department’s investigation.  Please answer the questions here, even if you answered the same questions before.

Work Searches
1. Did you look for work during the week(s) indicated in the Determination Letter?
2. Are you a member of a Union?
5. Did you engage in at least three work search activities (including employer contacts) each week?
6. Were you employed during the week(s) indicated in the Determination Letter?
Were your hours temporarily reduced during this period?
7. Did you accept an offer of work, during the week(s) indicated in the Determination Letter?

Provide a copy of your written offer of work, if there was one.  Documents can be provided by mail, fax, or through OAH’s participant portal.

8. Are you employed, but temporarily stopped working?
9. Are you participating in full time training, with written approval of the Employment Security Department?

If yes, provide a copy of your Commissioner Approved Training (CAT) Determination Letter.  Documents can be provided by mail, fax, or through OAH’s participant portal.

10. Are you looking for full time work (at least 35 hours per week)?
13. Did you search for work in fields in which you have experience or training?
14. Did you keep a record of your job search activity?

If yes, provide a copy of your job search logs and any additional documentation you have, such as emails or job announcements.  Documents can be provided by mail, fax, or through OAH’s participant portal.

If no, provide a copy of your written statement with as much information as possible about your job search activities. Include copies of any documentation you have, such as emails or job announcements. Documents can be provided by mail, fax, or through OAH’s participant portal.