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Health Savings Account (HSA) State of WI Retiree Enrollment Form Items Included: Enrollment Form (p. 1) Privacy Policy (pp. 23) Terms, Conditions, and Signature optional checkbox and signature Custodial
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The state of Wisconsin retiree is a form that must be filled out by retired individuals who receive retirement income from the state of Wisconsin.
Retired individuals who receive retirement income from the state of Wisconsin are required to file the state of WI retiree form.
The state of Wisconsin retiree form can be filled out online through the Wisconsin Department of Revenue website or by mailing in a paper form.
The purpose of the state of Wisconsin retiree form is to report income received from retirement sources in order to determine tax liabilities.
Information such as retirement income amounts, sources of income, and any tax withholdings must be reported on the state of Wisconsin retiree form.
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