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TENNESSEE BOARD OF REGENTSEmployee Authorization for Payroll Deduction to Health Savings Accounts this form to withhold money from your paychecks and deposit it into your health savings account (HSA)
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This form is used to report certain information to the IRS.
Entities or individuals who meet specific reporting requirements set by the IRS.
The form must be filled out accurately following the instructions provided by the IRS.
The purpose is to provide the IRS with information regarding a specific topic.
Information required varies depending on the form and reporting requirements.
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