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The document is a Work Search Record form from the Illinois Department of Employment Security, designed for claimants to document their job search efforts. It emphasizes the importance of maintaining accurate records to avoid denial of benefits and provides instructions on how to fill out the form, including details such as contact information, methods of contact, and results of job searches.

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Click ‘Get Form’ to open the Work Search Record in the editor.
Begin by entering your Claimant Information. Fill in your Last Name, First Name, Middle Initial (MI), and ID or SSN in the designated fields.
For each week you are claiming benefits, record the Week Ending date. This is crucial for tracking your work search efforts.
In the 'Contact Date' field, input the date you made contact regarding job opportunities.
Provide the Name & Address of the Contact Person you reached out to, ensuring all details are accurate.
Specify the Method of Contact used (e.g., phone, email) and detail the Type of Work Sought.
Finally, document the Results of your contact efforts to maintain a comprehensive record.

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