Homepage Free Hawaii Uc 253 Template
Overview

For individuals navigating the unemployment benefits system in Hawaii, the UC-253 form plays a crucial role in documenting efforts to secure employment. This form, officially titled "Record of Contacts Made for Work," serves as a record-keeping tool for claimants, allowing them to detail their job search activities as required during their continued claims process. When completing the UC-253, claimants must provide essential information such as their name, social security number, and a comprehensive list of job contacts made, including the date, employer's details, and the method of contact. Each entry must also indicate whether a position was applied for and the outcome of the contact. This detailed documentation not only aids in verifying a claimant's eligibility for benefits but also ensures compliance with the requirements set forth by the Hawaii Department of Labor and Industrial Relations. As claimants prepare for their Eligibility Review Interview, having accurate and thorough records can significantly impact the outcome of their claims, making the UC-253 an indispensable part of the unemployment insurance process in Hawaii.

Document 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 Fill Out Hawaii Uc 253

Completing the Hawaii UC 253 form is an essential step in your job search process. This form helps document your efforts to find work and is necessary for your eligibility review interview. Follow these steps to ensure you fill out the form accurately.

  1. Begin by entering your name at the top of the form.
  2. Next, provide your social security number below your name.
  3. For each job contact, fill in the following details:
    • Date of contact
    • Employer's name, address & phone number
    • Method of contact (e.g., phone, in person, internet)
    • Name of person contacted
    • Position applied for
    • Result of contact (circle yes or no for application filed)
  4. Repeat the previous step for each job contact, ensuring you fill in all required fields.
  5. If you need more space, continue your record of job contacts on the back of the form.
  6. At the bottom of the form, sign your name to certify that the information provided is true and correct.
  7. Finally, write the date next to your signature.

Common mistakes

Completing the Hawaii UC-253 form accurately is crucial for individuals seeking unemployment benefits. One common mistake is failing to provide complete contact information for employers. Each entry should include the employer's name, address, and phone number. Omitting any of these details can lead to delays in processing claims.

Another frequent error is not recording the method of contact correctly. The form requires claimants to specify whether they contacted the employer by phone, in person, or online. If this information is unclear or missing, it may raise questions during the eligibility review.

Some individuals forget to include the name of the person they contacted at the employer's office. This detail is important for verifying the job contact. Without it, the Unemployment Insurance Division may find it challenging to confirm the interaction.

Additionally, claimants sometimes neglect to indicate whether they applied for the position. The form asks for a simple "Yes" or "No" response. Failing to answer this question can complicate the evaluation of the job search efforts.

Another mistake is not providing the date of contact. Each entry should have a specific date when the contact was made. Leaving this blank can lead to confusion and may hinder the verification process.

Some people also misinterpret the instructions regarding the result of the contact. It is essential to indicate whether the applicant received a response, was invited for an interview, or was informed that the position was filled. This information helps assess the effectiveness of the job search.

Claimants may also overlook the requirement to continue their record on the back of the form. The UC-253 is designed to capture multiple contacts, and failing to utilize the entire form can result in incomplete reporting.

Finally, not signing and dating the form can invalidate the submission. The certification statement emphasizes the importance of honesty in reporting. A missing signature or date may lead to questions about the claim's legitimacy.

Documents used along the form

The Hawaii UC 253 form is an important document for individuals filing for unemployment benefits. Along with this form, there are several other documents that may be required or helpful during the claims process. Below is a list of commonly used forms and documents that can assist in navigating unemployment claims in Hawaii.

  • UC-1 Form: This is the initial claim form for unemployment benefits. It gathers essential information about the claimant's work history and reason for unemployment.
  • UC-2 Form: This form is used for reporting any earnings while receiving unemployment benefits. Claimants must report any income to ensure compliance with eligibility requirements.
  • UC-3 Form: This form provides information about the claimant's dependents. It helps determine the benefit amount based on the number of dependents.
  • Eligibility Review Interview Documentation: Claimants may need to prepare documentation for an interview that assesses their eligibility for benefits. This can include job search records and personal identification.
  • Job Search Log: A record of job applications and interviews. This log supports the UC-253 form by showing efforts made to find work.
  • W-2 Forms: These forms provide a summary of the claimant's earnings and taxes withheld from previous employment. They are often required to verify income history.
  • Arizona Board of Nursing License Form: This essential document provides vital information regarding the licensure process for nursing professionals in Arizona, outlining all necessary regulations and requirements to obtain or renew a nursing license. For further details, you can learn more about the form.
  • Pay Stubs: Recent pay stubs can help demonstrate earnings prior to unemployment. They may be requested to assess benefit eligibility.
  • Separation Notice: This document outlines the circumstances of the claimant's job separation. It may be requested to understand the reason for unemployment.
  • Appeal Forms: If a claim is denied, claimants may need to file an appeal. These forms allow individuals to contest the decision made by the unemployment office.
  • Identity Verification Documents: These can include a driver's license or Social Security card. They are often required to confirm the claimant's identity.

Understanding these documents can streamline the unemployment claims process in Hawaii. Being prepared with the necessary paperwork can help ensure that individuals receive the benefits they are entitled to in a timely manner.

Obtain Answers on Hawaii Uc 253

What is the Hawaii UC 253 form?

The Hawaii UC 253 form, also known as the "Record of Contacts Made for Work," is a document used by individuals who are claiming unemployment benefits in Hawaii. This form allows claimants to record their job search activities, including the contacts they have made with potential employers. It is essential for demonstrating that the claimant is actively seeking work, which is a requirement for receiving unemployment benefits.

Who needs to fill out the UC 253 form?

Any individual who is receiving unemployment benefits in Hawaii must fill out the UC 253 form. This includes those who are required to report their job search efforts during their eligibility review interviews. By providing this information, claimants help the Unemployment Insurance Division verify their compliance with job search requirements.

What information is required on the form?

The UC 253 form requires several key pieces of information, including:

  1. Claimant's name and social security number.
  2. Date of each contact made for work.
  3. Employer's name, address, and phone number.
  4. Method of contact (e.g., phone, in person, internet).
  5. Name of the person contacted.
  6. Position applied for.
  7. Result of the contact (e.g., whether an application was filed).

This information should be filled out accurately and completely to avoid any issues with the unemployment claim.

How is the information on the UC 253 form verified?

The Unemployment Insurance Division may verify the information provided on the UC 253 form. This could involve contacting the employers listed on the form to confirm the job search activities of the claimant. Therefore, it is crucial to ensure that all information recorded is true and accurate. Providing false information can lead to penalties or loss of benefits.

What should I do if I have more contacts than the form allows?

If you have more job contacts than can be recorded on the front of the UC 253 form, you can continue your record on the back of the form. Make sure to include all relevant details for each additional contact. It’s important to keep a thorough record of your job search efforts, as this documentation may be required for your eligibility review.

Document Attributes

Fact Name Fact Description
Form Purpose The UC-253 form is used to record job contacts made by individuals seeking unemployment benefits in Hawaii.
Governing Law This form is governed by Hawaii Revised Statutes, Chapter 383, which relates to unemployment insurance.
Eligibility Review Claimants must present this form during their Eligibility Review Interview to verify job search efforts.
Information Required Claimants need to provide details such as employer name, contact method, and the result of each job contact.
Verification The Unemployment Insurance Division may verify the information provided on the form.
Signature Requirement Claimants must sign the form, certifying that the information is true and correct.
Date of Submission The form must include the date the information is recorded, ensuring timely reporting of job contacts.
Contact Methods Various methods of contact can be reported, including phone, internet, and in-person interactions.
Result of Contact Claimants must indicate whether they filed an application for work as a result of the contact.
Continued Reporting The form has a continuation section for additional job contacts that may not fit on the front page.

Misconceptions

  • Misconception 1: The UC-253 form is optional.
  • This form is not optional. It is a required document for individuals claiming unemployment benefits in Hawaii. Completing it accurately is essential for maintaining eligibility.

  • Misconception 2: You only need to fill out the UC-253 if you find a job.
  • Filling out the UC-253 is necessary regardless of whether you secure employment. It tracks all job contacts made during the claim period, which is crucial for verifying your job search efforts.

  • Misconception 3: The information on the UC-253 does not need to be verified.
  • The information provided on this form is subject to verification by the Unemployment Insurance Division. Falsifying or omitting details can lead to penalties.

  • Misconception 4: You can submit the UC-253 at any time during your claim.
  • The UC-253 must be submitted during the Eligibility Review Interview or as requested by the unemployment office. Timeliness is key to ensure compliance with the claims process.

Key takeaways

When filling out the Hawaii UC 253 form, it’s important to keep several key points in mind to ensure a smooth process.

  • Accurate Information: Always provide accurate details about your job contacts, including the employer's name, address, and phone number. This information is crucial for your eligibility review.
  • Contact Method: Clearly indicate the method you used to contact each employer, whether it was by phone, in person, or online. This helps to establish your efforts in seeking employment.
  • Record All Contacts: Make sure to record every job contact you make. If you have multiple contacts, continue your records on the back of the form as instructed.
  • Verification: Be aware that the Unemployment Insurance Division may verify the information you provide. Keeping accurate records will support your case.
  • Certification: Don’t forget to sign and date the form. By doing so, you certify that the information is true and correct, which is a legal requirement.

By following these guidelines, you can help ensure that your application is processed smoothly and efficiently. Remember, thoroughness and honesty are key components in this process.