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HSA Custodial Transfer FormInstructions: Use this form to transfer your current HSA funds. Complete and return this form to us by email at HSA@avidiahealthcaresolutions.com or by mail at NVIDIA Bank,
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How to fill out hsa -custodial transfer form

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How to fill out hsa -custodial transfer form

01
Obtain the HSA custodial transfer form from your current HSA custodian.
02
Fill out your personal information, including your name, address, and Social Security number.
03
Provide details about your current HSA account, such as the account number and the custodian's name.
04
Indicate the amount you wish to transfer to the new custodian.
05
Specify the receiving custodian's name and address.
06
Review the form for accuracy and completeness.
07
Sign and date the form.
08
Submit the completed form to your current HSA custodian for processing.

Who needs hsa -custodial transfer form?

01
Anyone who wants to transfer their HSA account from one custodian to another needs to fill out the HSA custodial transfer form.
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The HSA - custodial transfer form is a document used to facilitate the transfer of assets between Health Savings Accounts (HSAs) held at different custodians.
Individuals who want to transfer their HSA assets from one financial institution to another are required to file the HSA - custodial transfer form.
To fill out the HSA - custodial transfer form, provide personal information such as your name, address, and account number, along with details of the transfer including the amount and the receiving custodian's information.
The purpose of the HSA - custodial transfer form is to ensure that the transfer of HSA funds is conducted properly and compliant with regulations, safeguarding the account holder's assets during the transfer process.
The information that must be reported includes the account holder's personal details, current HSA custodian information, new HSA custodian details, and the amount to be transferred.
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