Hawaii Uc 253 Form PDF Details

In the journey of navigating through a period of unemployment, the Hawaii UC-253 form emerges as a crucial document for individuals seeking unemployment benefits within the state. Drafted by the Department of Labor and Industrial Relations' Unemployment Insurance Division, this form serves as a detailed ledger where claimants record their job search efforts, a mandatory requirement for maintaining their eligibility for unemployment benefits. It meticulously documents the claimant's endeavors to secure employment, including the dates of contact, names, and details of the employers approached, the method of contact, and the outcomes of these attempts. The form emphasizes transparency and accountability, necessitating claimants to furnish comprehensive details such as the employer's name, address, and phone number, how the contact was made—be it through the internet, in person, by phone, or by sending a résumé—and the result of each contact. Moreover, claimants are required to attest to the accuracy of the information provided, with a stern reminder of the legal repercussions for falsehoods. This form not only facilitates an organized job search effort for the claimant but also enables the Unemployment Insurance Division to verify these activities, ensuring that benefits are rightfully disbursed to those actively seeking employment.

QuestionAnswer
Form NameHawaii Uc 253 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshawaii form uc 253, hawaii unemployment please online, 253 record, uc 253 form

Form Preview Example

UC-253 (11/05)State of Hawaii

Department of Labor and Industrial Relations

UNEMPLOYMENT INSURANCE DIVISION

RECORD OF CONTACTS MADE FOR WORK

Record the contacts you made to obtain work that you reported on your continued claims. Please give this information to the interviewer during your Eligibility Review Interview or as requested. Your "Record of Contacts Made for Work" is subject to verification by the Unemployment Insurance Division.

Claimant's name

Social security number

Please provide the information requested or circle the appropriate response.

Date of

Employer's name, address & phone number

Method of

Name of person contacted

Position applied for

Applica-

Result of contact for

contact

 

contact

 

 

tion filed?

work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

 

Résumé

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OVER - CONTINUE YOUR RECORD OF JOB CONTACTS ON THE BACK OF THIS FORM

RECORD OF CONTACTS MADE FOR WORK - CONTINUED

Please provide the information requested or circle the appropriate response.

Date of

Employer's name, address & phone number

Method of

Name of person contacted

Position applied for

Applica-

Result of contact for

contact

 

contact

 

 

tion filed?

work

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Telephone

 

 

Yes

 

 

 

Internet

 

 

 

 

Address

 

 

 

 

 

In person

 

 

No

 

 

Phone

Résumé

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify this information is true and correct to the best of my knowledge. I am aware the law provides penalties for false statements made for the purpose of obtaining benefits.

Claimant’s signature _____________________________________________________________________________

Date _________________________________________

How to Edit Hawaii Uc 253 Form Online for Free

It shouldn’t be challenging to obtain uc 253 form through our PDF editor. This is the way it is possible to rapidly make your document.

Step 1: Choose the orange button "Get Form Here" on the website page.

Step 2: You'll find all of the functions you can undertake on your file after you have entered the uc 253 form editing page.

These particular areas will frame the PDF template that you'll be creating:

uc 253 record spaces to complete

The program will need you to submit the Address, Name, Address, Name, Address, Name, Address, Name, Address, Name, Address, Phone, Phone, Phone, and Phone part.

step 2 to filling out uc 253 record

The system will demand you to put down certain valuable particulars to conveniently fill out the field Date of contact, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, and Address.

Entering details in uc 253 record part 3

When it comes to field Phone, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, and Telephone Internet In person Résumé, identify the rights and responsibilities.

uc 253 record Phone, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, Address, Phone, Name, and Telephone Internet In person Résumé blanks to fill

End by checking the next fields and filling them in correspondingly: Address, Phone, Name, Address, Phone, Telephone Internet In person Résumé, Telephone Internet In person Résumé, Yes, Yes, I certify this information is true, and Claimants signature Date.

uc 253 record Address, Phone, Name, Address, Phone, Telephone Internet In person Résumé, Telephone Internet In person Résumé, Yes, Yes, I certify this information is true, and Claimants signature  Date fields to fill

Step 3: The moment you hit the Done button, your ready file is conveniently exportable to any type of of your gadgets. Alternatively, you may deliver it via mail.

Step 4: Attempt to make as many duplicates of the form as possible to avoid future worries.

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