Form Uia1583 Details

The 1583 Work Search Form is a tool that job seekers can use to track their job search progress. The form can be used to record the dates and results of job interviews, as well as the names of potential employers. The form can also be used to track the number of hours spent on job search activities. Use the form to help keep your job search organized and on track. Click the link below to download a copy of the form. The 1583 Work Search Form is an essential tool for any Job seeker looking to organize and track their progress while searching for employment! This simple yet highly effective form lets you document, monitor, and stay on top of all aspects related to your current or upcoming work search campaign.

Below is the data relating to the PDF you were in search of to fill out. It will tell you how much time you will require to finish 1583 work search form, what fields you will need to fill in and several additional specific details.

QuestionAnswer
Form Name1583 Work Search Form
Form Length2 pages
Fillable?Yes
Fillable fields51
Avg. time to fill out10 min 46 sec
Other nameswork search uia form, michigan work form, work search 1583 form, form uia1583

Form Preview Example

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 empty fields in uia 1583 form download

Fill out the Second Week Ending Date: (Enter a, In Person Mail Telephone Fax, In Person Mail Telephone Fax, Certification: I certify that the, Date, Telephone Number, and LEO is an equal opportunity field with the information requested by the platform.

Entering details in uia 1583 form download part 2

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