Hawaii Uc 253 Form PDF Details

As a Hawaii resident, you are required to file a Uc 253 form with the state if your income is over a certain amount. This form is used to calculate your taxes, and it's important to file it on time. Here's what you need to know about the Hawaii Uc 253 form. The Hawaii Uc 253 tax form is used by the state to calculate taxes owed by residents who earn an annual income that exceeds a certain amount. It's important to file this form on time, so you're sure to pay the correct amount of taxes. Here are some things you need to know about filling out and filing the Hawaii Uc 253 tax form.

We've gathered some general facts about the hawaii uc 253 form. You might want to go through it prior to filling in the form.

QuestionAnswer
Form NameHawaii Uc 253 Form
Form Length2 pages
Fillable?Yes
Fillable fields143
Avg. time to fill out29 min 6 sec
Other nameshawaii uc 253 form, uc 253, form uc 253, 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 _________________________________________

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