Uia 1583 Form PDF Details

In complete accordance with compliance regulations, Uia 1583 form is an important document that must be filed in order to maintain bare trust status. This form is also necessary for certain other activities, including the establishment of limited partnerships and applications for exemption from registration under the securities law. Although the process of completing Uia 1583 form may seem daunting at first, our team of experts are here to help guide you through every step of the way. Click here to learn more about how we can assist you with this vital process.

Before you decide to fill in uia 1583 form, you'll want to understand more concerning the type of form you are going to use.

Form NameUia 1583 Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesuia 1583, michigan unemployment work search form, unemployment job search form, record of work search

Form Preview Example


State of Michigan

Authorized by


Department of Licensing And Regulatory Affairs

MCL 421.1, et seq.







Bi-Weekly Emergency Unemployment Compensation

(EUC) Record of Work Search

Federal law requires that you engage in an active work search for each week you are claiming Emergency Unemployment Compensation (EUC) beneits. You must contact a

minimum of two employers per week, and report the details and results of each work search effort on this form. Complete and submit this form BEFORE contacting MARVIN or using MARVIN Online during your scheduled appointment to certify/report for beneits. You can report your EUC work search efforts online through the Claimant Web Account Manager (CWAM) by visiting www.michigan.gov/uia and selecting “Online Services for Unemployed Workers.” If you do not complete and submit this form timely, a determination will be made on your eligibility for those week(s) you were paid but did not submit an EUC work search form. This may have an effect on your eligibility for future payments and/or you may be required to pay back the beneits you were paid for these week(s) in question, plus any applicable interest and penalties. If you have any questions about this form or EUC work search requirements, call 1-866-500-0017 (TTY customers use 1-866-366-0004) between 8:00 AM and 4:30 PM (Eastern Time) Monday through Friday. Detailed instructions on reverse side.

Date Mailed/Faxed: ______________


(Please print clearly and use black ink)

–See Other Side–

Enter your Social Security number

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Date of Contact

Name of Employer

Employer Address

Name and Title of

Method of

Type of Work

Person Contacted


Applied for





(Application submit- ted, interview, hiring, not hiring, etc.)

First Week Ending Date: __________________

Second Week Ending Date: __________________

Your Certiication: By signing this form, I am reporting my work searches for the week(s) shown above. The information reported on this form is true and correct to the best of my knowledge and belief. Under 18 U.S.C. Section 1001, knowingly and willfully concealing a material fact by any trick, scheme, or device or knowingly making a false statement in connection with this claim is a federal offense, punishable by a ine of not more than $10,000 or imprisonment for not more than ive years, or both.




For UIA Use Only


User I.D.: _____________________ Date: ______________


LARA is an equal opportunity employer/program.



Instructions for Completing the EUC Work Search

The following information must be completed on the Work Search form in order to continue to receive EUC payments.

Week Ending Dates – these dates are for the previous two weeks. The dates start on Sunday and end on Saturday. Write the Saturday date for each week.

Date of Contact – the dates of your work search must fall within the week ending (Sunday thru Saturday) date for each week.

Name of Employer – write the name, if known, or the online job search site, or employment service or agency that was contacted. If the employer is not known or not identiied, indicate “not known or not identiied.”

Employer Address – enter the employer address, or city/state, website address, general location, or indicate “not known”.

Name and Title of Person Contacted – enter the name and title, if known of the person contacted, or the area contacted (e.g., human resources department, website address), or indicate not known.”

Method of Contact – enter how contact was made, (e.g., in person, phone, mail, fax, email, online, by resume, response to job ad, etc.)

Type of Work Applied for - enter the type of work applied for, (e.g., factory worker, retail sales,wait staff, truck driver, etc.)

Results – enter results of work search, (e.g., submitted resume and/or application, not accepting applications, not hiring, scheduled for interview, etc.)


You must list at least two employers each week. The third employer contact is optional, but only two employer contacts per week are required.

SUBMITTING YOUR WORK SEARCH: You must submit your completed EUC work search online by logging into your CWAM account, which can be located on the UIA home page at www.michigan.gov/uia, or by mailing or faxing your completed EUC work search to:

Unemployment Insurance Agency

P.O. Box 169

Grand Rapids, MI 49501-0169

Fax Number: 1-517-636-0427

If you have questions regarding the EUC work search, call our toll free telephone Inquiry Line at

1-866-500-0017 and press option 3 to speak with an agent.

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Remember to type in your details in the part Your Certiication By signing this, SignatureDate, User ID Date, For UIA Use Only, and LARA is an equal opportunity.

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