1583 Work Search Form PDF Details

In today's constantly evolving job market, maintaining accurate records of job search activities is a pivotal aspect of the unemployment benefits process in Michigan. The State of Michigan, under the governance of Gretchen Whitmer and with Jeff Donofrio as the director of the Department of Labor and Economic Opportunity, mandates through the Unemployment Insurance Agency (UIA) that individuals seeking unemployment benefits adhere strictly to the regulations encapsulated in the UIA 1583, Record of Work Search form. This document, structured to be user-friendly and comprehensive, requires claimants to submit detailed information about their job search efforts, a process critical for the bi-weekly certification of unemployment benefits claims. The form outlines the necessity of making at least two job contacts per week, along with recording specific information such as the date of contact, name of the employer, and the method by which the contact was made. Submissions can be made via the MiWAM account, an alternative format like a spreadsheet or even handwritten notes, as long as the essential information is present. Moreover, the importance of this form extends beyond mere record-keeping; it serves as a critical checkpoint for the UIA to verify work search activities, underscoring the gravity of providing accurate and timely information. The stipulation that this form can be audited also adds a layer of accountability for claimants, highlighting the repercussions of falsified claims, which could lead to repayment of benefits, charges, and potential criminal prosecution. Through this well-structured system, the State of Michigan ensures that support is provided efficiently and equitably to those navigating unemployment, reinforcing the essential role of the 1583 Work Search form in the broader context of unemployment insurance.

QuestionAnswer
Form Name1583 Work Search Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesuia 1583 form download, miwam forms, form uia1583, form uia 1583

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UIA 1583

 

Authorized by

(Rev. 03-19)

 

MCL 421.1 et seq.

 

STATE OF MICHIGAN

 

 

GRETCHEN WHITMER

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

JEFF DONOFRIO

 

GOVERNOR

UNEMPLOYMENT INSURANCE AGENCY

DIRECTOR

 

Record of Work Search

You can submit details of your work search when reporting for your bi-weekly certifications in your MiWAM account or by submitting this form or in alternative format such as a spreadsheet or hand written on paper, as long as it includes the information required. Below are the instructions to complete the reverse side.

You must look for work by making at least two job contacts per week. Keep a record of the following information:

Week Ending Date - This date is for the week you are claiming. The date starts on Sunday and ends on Saturday. Write the Saturday date for each week.

Date of Contact - The date of your work search must fall within the week ending date (Sunday through Saturday) for each week.

Name of Employer - Write the name, if known, of the employer, employment service or agency that was contacted. If the contact was made online and the employer was not specified, enter the name of the search engine or job posting number.

Employer Address/Telephone Number/ Website address - Enter the physical address or location of the position applied for. If the contact was made by telephone, enter the phone number used. If the contact was made online and the address/location is unknown, enter the website address.

Method of Contact - Enter how contact was made (e.g., in person, phone, mail, fax, email, online)

Inform UIA of your Work Search:

Your work search is due every four weeks.

Work search contacts can be entered at the time of bi-weekly certification in MiWAM, by using

Form UIA 1583, Record of Work Search, or an alternative format such as a spreadsheet or hand written on paper, as long as it includes the information required.

You can submit your work search by fax to 1-517-636-0427, by mail to Unemployment Insurance

Agency, Multi Service Center, 9023 Joseph Campau, Hamtramck, MI 48212 or drop it off in person at any UIA Local Office.

When submitting your work search, include your name and Social Security Number on each page.

Important

Keep a copy for your records.

Your work search is subject to audit and verification.

Failing to submit timely and accurate work search forms may prevent payment of your UI benefits.

If your address changes it is important to update it with the Unemployment Insurance Agency.

If you have questions, you may contact us through your MiWAM account or by calling, 1-866-500-0017. For telephone or Local Office hours of operation, visit www.michigan.gov/uia. TTY service is available

at 1-866-366-0004.

UIA 1583

 

 

 

 

 

 

(Rev. 03-19)

RECORD OF WORK SEARCH

 

 

 

 

 

Date Mailed/Faxed: _____________________

Enter your Social Security Number

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name: _________________________________________________________

 

 

 

 

 

 

 

 

 

 

-

You must contact a minimum of two employers within each week and report the details for each work search. You can submit your record of work search through your MiWAM account, by fax, by mail or in person to an Unemployment Insurance Local Office. Computer and fax services are available at any Michigan Works! Agency (MWA) Service Centers. Your search is subject to audit and verification. Keep a copy for your records. See instructions on front

side.

 

 

 

 

Employer Address/

 

Method of

Date of Contact

 

Name of Employer

Telephone Number/

 

 

 

Contact

 

 

 

 

Website Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Example:

 

 

 

 

 

 

 

First Week Ending Date: 7/7/2018 _____________ (Enter a Saturday date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

07/02/18

ABC Company

517-555-6789

X

Telephone

Fax

 

 

 

 

 

 

Internet

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

 

 

 

 

 

 

07/05/18

XYZ Construction Company

www.xyzconstruct.com

 

Telephone

Fax

 

 

 

 

 

X

Internet

Other

 

 

 

 

 

 

 

 

First Week Ending Date: _______________________ (Enter a Saturday date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

 

 

 

 

 

 

Telephone

Fax

 

 

 

 

 

 

 

 

 

 

 

 

Internet

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone

Fax

 

 

 

 

 

 

Internet

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Second Week Ending Date: _____________________ (Enter a Saturday date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

 

 

 

 

 

 

Telephone

Fax

 

 

 

 

 

 

 

 

 

 

 

 

Internet

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In Person

Mail

 

 

 

 

 

 

 

 

 

 

 

 

Telephone

Fax

 

 

 

 

 

 

 

 

 

 

 

 

Internet

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification: I certify that the information I have reported is true and correct. I understand that if I intentionally make a false statement, misrepresent facts or conceal material information to reduce or prevent benefits, I may be required to repay benefits, be charged damages and could be subject to criminal

prosecution.

__________________________________

__________________

_________________

Signature

Date

Telephone Number

*015831903*

LEO is an equal opportunity employer/program.

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example of gaps in michigan uia 1583

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