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HSA ACCOUNT CLOSE/REQUEST TO DISBURSE FUNDS Name: HSA Checking Account Number:HSA Debit Card Number:9500 If you have been issued an additional debit card, please list the number below: HSA Debit Card
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How to fill out hsa account closerequest to
How to fill out hsa account closerequest to
01
Download the HSA Account Closerequest form from the bank's website.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide your HSA account number and the reason for closing the account.
04
Sign and date the form.
05
Submit the completed form to your bank via mail or in person.
06
Follow up with the bank to ensure that your account closure request is processed.
Who needs hsa account closerequest to?
01
Individuals who no longer require or want to use their HSA account
02
Individuals who have found a better HSA account option with another bank or financial institution.
03
Individuals who have changed jobs or insurance providers and no longer have access to an HSA.
04
Individuals who are closing their HSA account due to financial reasons.
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