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HA-0914-1012 STATE OF NEW JERSEY DIVISION OF PENSIONS AND BENEFITS STATE HEALTH BENEFITS PROGRAM SCHOOL EMPLOYEES HEALTH BENEFITS PROGRAM HEALTH SAVINGS ACCOUNT (HSA) CONTRIBUTION FORM EMPLOYEE INFORMATION

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What is hsa contribution form?

The HSA contribution form is a form used to report contributions made to a Health Savings Account (HSA). It is typically filed with the individual's tax return.

Who is required to file hsa contribution form?

Individuals who have made contributions to a Health Savings Account (HSA) during the tax year are required to file the HSA contribution form.

How to fill out hsa contribution form?

To fill out the HSA contribution form, you will need to provide information about your contributions, including the amount contributed and the date of the contributions. This information is typically reported on Form 8889, which is attached to your tax return.

What is the purpose of hsa contribution form?

The purpose of the HSA contribution form is to report the contributions made to a Health Savings Account (HSA) during the tax year. This information is used to determine the individual's eligibility for certain tax benefits and to track the amount of tax-free distributions from the HSA.

What information must be reported on hsa contribution form?

The HSA contribution form typically requires the reporting of the total amount of contributions made to the Health Savings Account (HSA) during the tax year, as well as the date of each contribution. This information is used to calculate the individual's eligibility for tax benefits and to verify the accuracy of reported HSA distributions.

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