Hawaii Uc 253 Form – Fill Out and Use This PDF

Hawaii Uc 253 Form is a document required to be filled out when applying for financial aid.

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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.

Question	Answer
Form Name	Hawaii Uc 253 Form
Form Length	2 pages
Fillable?	Yes
Fillable fields	143
Avg. time to fill out	29 min 6 sec
Other names	hawaii uc 253 form, uc 253, form uc 253, uc 253 form

12

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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			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
		Résumé			No
	Phone	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			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

	Name	Telephone			Yes
		Internet			Yes
	Address	Internet
	Address	In person			No
	Phone	Résumé
	Phone

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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