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Get the free HSA Transfer Form - motivhealth.com

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HSA Transfer Form Email, mail or fax completed forms to: Email: transfer@motivhealth.com Address: MotivHealth, Attn: Member Services P.O. Box 709718 Sandy, UT 840709718 844.533.1289 Fax: Use the HSA
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How to fill out hsa transfer form

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How to fill out hsa transfer form

01
Obtain a copy of the HSA transfer form from your current HSA provider.
02
Fill out the personal information section, including your name, address, and contact information.
03
Provide your current HSA account number and the name of your current HSA provider.
04
Indicate the amount you wish to transfer from your current HSA to the new HSA.
05
Specify the account number and name of the new HSA provider where you want the funds transferred.
06
Sign and date the form.
07
Submit the completed form to your current HSA provider for processing.

Who needs hsa transfer form?

01
Anyone who wants to transfer funds from their current HSA account to a new HSA account needs to fill out the HSA transfer form.
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The HSA transfer form is a document used to facilitate the transfer of funds from one Health Savings Account (HSA) to another, ensuring that all regulatory requirements are met during the transfer process.
Individuals who wish to transfer funds between HSAs are required to file an HSA transfer form with their current HSA custodian to initiate the transfer.
To fill out an HSA transfer form, provide personal information such as your name, address, Social Security number, the details of your current HSA, and the information of the new HSA you are transferring to. Sign and date the form as required.
The purpose of the HSA transfer form is to authorize and document the movement of funds between HSAs, allowing account holders to take advantage of better investment options or lower fees without incurring tax penalties.
The HSA transfer form typically requires information such as the account holder's personal details, current HSA information, new HSA information, and any authorization signatures needed for the transfer.
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