1583 Work Search Form – Fill Out and Use This PDF

The UIA 1583 Work Search form is Michigan’s official unemployment insurance record for documenting weekly job search activities. To remain eligible for benefits, you must record at least two verified employer contacts per week, including the contact date, employer name, contact method, and outcome. Records can be submitted through your MiWAM account or kept as a spreadsheet or handwritten log. Retain all completed forms for at least four weeks, as the UIA may audit your work search history at any time.

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1583 Work Search Form PDF Details

The UIA 1583, Record of Work Search, is a required Michigan Unemployment Insurance Agency document. It tracks the job search efforts of individuals claiming unemployment benefits under the oversight of the Department of Labor and Economic Opportunity. Claimants must submit accurate records for every week they certify for benefits.

Each week's record must include at least two employer contacts. For each contact, claimants must document the date, the employer's name and address, the contact method (in person, by phone, by mail, by fax, or through an online application), the type of work sought, and the result. Missing or incomplete entries can delay or stop benefit payments.

Completed records can be submitted through the MiWAM online account or retained in an alternative format such as a spreadsheet or handwritten notes. All records are subject to audit by the UIA. Providing inaccurate work search information can result in repayment of all benefits received, additional financial penalties, and potential criminal prosecution under Michigan law.

Question	Answer
Form Name	1583 Work Search Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	uia 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	-
Date Mailed/Faxed: _____________________


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/		Method of
Date of Contact		Name of Employer	Telephone Number/		Contact
			Website Address		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
					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
					Telephone	Fax
					Internet	Other
					Internet	Other

					In Person	Mail


					Telephone	Fax
					Internet	Other
					Internet	Other

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

					In Person	Mail
					Telephone	Fax
					Telephone	Fax
					Internet	Other
					Internet	Other

					In Person	Mail
					In Person	Mail
					Telephone	Fax
					Telephone	Fax
					Internet	Other
					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.

How to Edit 1583 Work Search Form Online for Free

FormsPal’s free PDF editor lets you complete the UIA 1583 Work Search form in minutes. Follow the steps below to fill out and download your completed form.

Step 1: Click the “Get Form Here” button to open the 1583 work search form in the PDF editor.

Step 2: Fill in the required fields for each reporting period. Enter the following information for each week covered:

Week Ending Date for each reporting period
Employer name and address for each contact made
Contact method: In Person, Mail, Telephone, or Fax
Date of contact and type of work sought

Step 3: Complete the certification section at the bottom of the form. Enter the date and your telephone number in the fields marked “Date” and “Telephone Number.”

Step 4: Click “Done” to finalize the form. Download the completed UIA 1583 to any device or have it emailed to you. Keep a copy for your records for at least four weeks.

Frequently Asked Questions About the UIA 1583 Work Search Form

Who is required to complete the UIA 1583 Work Search form?
All Michigan residents actively certifying for unemployment insurance benefits must complete this form or an equivalent work search log each week. You must record at least two employer contacts for every week you claim benefits.

What methods of employer contact qualify on the form?
Qualifying contact methods include applying in person, by phone, by mail, by fax, or through an online job application. Contacts with staffing agencies also count. Passive browsing of job boards without applying does not qualify.

How long must I keep my completed work search records?
Retain completed UIA 1583 forms for at least four weeks after submission. The Michigan UIA can request your records during an audit at any time, so keep them available on demand.

What are the penalties for falsifying work search records?
Submitting false work search records is a serious violation. Consequences include full repayment of all unemployment benefits received during the affected period, additional financial penalties, and possible criminal prosecution under Michigan law.

Need a printable log? See the Work Search Record form or the TWC Work Search Log for alternative formats.

1583 Work Search Form – Fill Out and Use This PDF

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