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Thank you for choosing Guilford Savings Bank for your Health Savings Account (HSA). Please complete the HSA application and signature card. Include the following items to ensure timely processing
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Instructions for filling out the "Please Complete Form HSA":

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Who needs to fill out the "Please Complete Form HSA":

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Individuals who are opening a Health Savings Account (HSA) may need to fill out this form. An HSA allows individuals to save money for medical expenses while taking advantage of certain tax benefits.
02
Employers or human resources departments may require their employees to fill out this form when they want to participate in the company's HSA program.
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Financial institutions or insurance providers who offer HSA accounts may request individuals to complete this form during the account opening process.
Remember, it is essential to follow all instructions provided on the form and seek assistance if needed to ensure accurate and timely completion.
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