Reemployment Services & Eligibility Assessment Form
This form is used by individuals in Kansas to record their weekly work search activities to maintain eligibility for unemployment benefits. It requires at least two job applications or resume submissions each week. Failure to complete and submit this form may result in denial of benefits.
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How do I fill this out?
Begin by providing your last and first name. Record your job search activities for the week, including dates, employer names, addresses, phone numbers, contact persons, contact types, positions applied for, and results. Sign and date the form to certify its accuracy.
How to fill out the Reemployment Services & Eligibility Assessment Form?
1
Provide your last and first name.
2
Record each job search activity with date and employer details.
3
Include contact persons and contact types for each activity.
4
Specify positions applied for and the results of each application.
5
Sign and date the form to certify its accuracy.
Who needs the Reemployment Services & Eligibility Assessment Form?
1
Unemployed individuals in Kansas need this form to maintain their eligibility for benefits.
2
Job seekers who must document their work search activities weekly.
3
Individuals required to submit proof of job search activities for unemployment benefits.
4
Claimants who need to track their employment application status.
5
Persons needing to comply with Kansas Employment Security Law requirements.
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What are the instructions for submitting this form?
Submit the completed form to the Kansas Department of Labor either online through their official website or by mailing it to their physical address provided on their site. Alternatively, you can fax it to the number given by the department. Ensure all required sections are filled out accurately to avoid delays. My advice: Always keep a copy of the completed form for your records before submission.
What are the important dates for this form in 2024 and 2025?
Ensure weekly submission of this form to remain eligible for benefits. Important dates for 2024 and 2025 are typically the Saturdays marking the end of each week. Follow any additional instructions provided by the Kansas Employment Security Law.
What is the purpose of this form?
The purpose of this form is to help individuals in Kansas document their weekly job search activities, which is a requirement for maintaining eligibility for unemployment benefits. By accurately recording their efforts to find employment, claimants demonstrate compliance with the state’s Employment Security Law. The form ensures that individuals are actively seeking employment and provides a record of their job search activities for review by the relevant authorities.
Tell me about this form and its components and fields line-by-line.
- 1. Claimant Last Name: Enter your last name.
- 2. Claimant First Name: Enter your first name.
- 3. Job Contacts for Week Ending: Provide the date when the week ends (Saturday).
- 4. Date: Enter the date of each job search activity.
- 5. Employer Name: Enter the name of the employer you contacted.
- 6. Employer Address: Enter the address of the employer.
- 7. Employer Phone: Enter the phone number of the employer.
- 8. Person Contacted: Enter the name of the person you contacted at the employer.
- 9. Contact Type: Specify the type of contact (e.g., application, resume submission).
- 10. Position Applied for: Enter the position you applied for.
- 11. Results: Enter the results of your job application.
- 12. Office Use Verified (Yes/No): Office use: check if the job search activity is verified.
- 13. Certification: Sign and date to certify the accuracy of the information provided.
What happens if I fail to submit this form?
Failure to submit this form may result in denial of unemployment benefits.
- Loss of Benefits: You may lose eligibility for unemployment benefits.
- Non-compliance: Failing to submit the form may result in non-compliance with state law.
- Delayed Payments: Payments may be delayed until the form is submitted.
How do I know when to use this form?
- 1. Weekly Submission: Submit this form weekly with detailed job search activities.
- 2. Unemployment Claims: Include this form as part of your unemployment claims process.
- 3. Work Search Documentation: Keep a record of your job search efforts for review by authorities.
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What information do I need to provide on this form?
You need to provide your name, job search activities, employer details, contact persons, contact types, positions applied for, and the results.
Why is this form important?
It is required to maintain eligibility for unemployment benefits by documenting your job search efforts.
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What should I do if I make a mistake on the form?
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How often do I need to submit this form?
You need to submit this form weekly to document your job search activities for unemployment benefits.
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