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CHANDLER UNIFIED SCHOOL DISTRICT VOLUNTARY HSA CONTRIBUTION NONMANUAL CONTRIBUTION LIMITATION: FOR CALENDAR YEAR 2019, THE ANNUAL LIMITATION ON DEDUCTIONS UNDER 223×b)(2)(A) FOR AN INDIVIDUAL WITH
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How to fill out voluntary hsa contribution form
How to fill out voluntary hsa contribution form
01
Obtain a voluntary HSA contribution form from your employer or from your HSA provider.
02
Fill in your personal information, including your name, address, and social security number.
03
Specify the contribution amount you wish to make to your HSA.
04
If applicable, indicate whether the contribution is for the current tax year or for the previous tax year.
05
Sign and date the form.
06
Submit the completed form to your employer or HSA provider, following their instructions.
Who needs voluntary hsa contribution form?
01
Any individual who has a Health Savings Account (HSA) can use the voluntary HSA contribution form. This form allows individuals to make additional contributions to their HSA beyond the automatic payroll deductions, if applicable. It is especially useful for those who want to maximize their HSA contributions for tax benefits or to save for future medical expenses.
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