Form preview

Get the free Health Savings Account Change of Address Form

Get Form
This document is used for account holders to update their address information associated with their Health Savings Account.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign health savings account change

Edit
Edit your health savings account change form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your health savings account change form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing health savings account change online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps below to benefit from a competent PDF editor:
1
Log in to your account. Click Start Free Trial and sign up a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit health savings account change. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out health savings account change

Illustration

How to fill out Health Savings Account Change of Address Form

01
Obtain the Health Savings Account Change of Address Form from your provider.
02
Fill in your personal information in the designated sections, including your name, old address, and new address.
03
Double-check the accuracy of the information provided to avoid errors.
04
Sign and date the form at the bottom where indicated.
05
Submit the completed form as per your provider's instructions, which may involve mailing, faxing, or submitting online.

Who needs Health Savings Account Change of Address Form?

01
Individuals who have recently moved and need to update their address with their Health Savings Account (HSA) provider.
02
Account holders who want to ensure that their account statements and tax information are sent to the correct address.
03
Anyone who has changed their legal residence and wants to maintain accurate records with their HSA.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
40 Votes

People Also Ask about

From the Account Details tab, choose My Account and select Profile, then Change Address/Phone.
There are two sets of tax forms: Your annual tax Form 1099 will be mailed to the address on file by January 31 each year. Your annual tax Form 5498 will be mailed to the address on file by May 31 each year.
Hold on to any insurance carrier's Explanation of Benefits (EOB) statement that documents your expenses for services covered under your HSA-eligible health plan. Keep receipts for all other items purchased with your HSA, for example, vision and dental services.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Health Savings Account Change of Address Form is a document used by individuals to officially notify their HSA provider of a change in their residential or mailing address.
Individuals who have a Health Savings Account and have recently changed their address are required to file the Health Savings Account Change of Address Form to ensure their account details are up to date.
To fill out the Health Savings Account Change of Address Form, individuals need to provide their personal information, including their previous address, new address, and any identification details required by the HSA provider.
The purpose of the Health Savings Account Change of Address Form is to ensure that HSA records are accurate and that account holders receive important communications and statements at their current address.
The information that must be reported on the Health Savings Account Change of Address Form includes the account holder's name, Social Security number or account number, previous address, new address, and possibly a signature for verification.
Fill out your health savings account change online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.