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Page 1 of 2 3314 / 2606H (Rev. 4/2015) 2015 As census, Inc. WITHDRAWAL AUTHORIZATION Refer to page 2 for reporting information. PART 1. HSA OWNER.

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What is 3314 hsa withdrawal authorization?

The 3314 HSA withdrawal authorization is a form used to request a distribution from a Health Savings Account (HSA).

Who is required to file 3314 hsa withdrawal authorization?

Anyone who wants to withdraw funds from their HSA is required to file Form 3314.

How to fill out 3314 hsa withdrawal authorization?

To fill out Form 3314, you will need to provide personal information, details about the HSA account, the amount you wish to withdraw, and the purpose of the withdrawal.

What is the purpose of 3314 hsa withdrawal authorization?

The purpose of Form 3314 is to authorize the withdrawal of funds from an HSA for qualified medical expenses.

What information must be reported on 3314 hsa withdrawal authorization?

You must report details such as your name, address, HSA account number, withdrawal amount, and the reason for the withdrawal on Form 3314.

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