Get the free HRA Beneficiary Designation Form ...

Name: Fillable Online HRA Beneficiary Designation Form ... Fax Email Print - pdfFiller
Brand: pdfFiller
Rating: 4.9 (55 reviews)

Get Form

Show details

Health Reimbursement Arrangement (HRA) Beneficiary Designation Form Section A: General Information: Employer (District) Name: Employee Name (Last, First, M.I.):Social Security #:Address: City:State:Home

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign hra beneficiary designation form

Edit your hra beneficiary designation form form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your hra beneficiary designation form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit hra beneficiary designation form online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Here are the steps you need to follow to get started with our professional PDF editor:

1

Sign into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.

2

Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.

3

Edit hra beneficiary designation form. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.

4

Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.

With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out hra beneficiary designation form

01

Fill out personal information section including name, address, and contact details.

02

Specify the desired beneficiary by providing their name, relationship to you, and their contact information.

03

Indicate the percentage or specific amount of funds you wish to designate to the beneficiary.

04

Sign and date the form to make it legally binding.

Who needs hra beneficiary designation form?

01

Individuals who have a Health Reimbursement Arrangement (HRA) account and want to designate a beneficiary to receive the funds in case of their death.

Fill form : Try Risk Free

Rate the form

4.9

Satisfied

55 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How can I send hra beneficiary designation form for eSignature?

When you're ready to share your hra beneficiary designation form, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.

How do I complete hra beneficiary designation form online?

With pdfFiller, you may easily complete and sign hra beneficiary designation form online. It lets you modify original PDF material, highlight, blackout, erase, and write text anywhere on a page, legally eSign your document, and do a lot more. Create a free account to handle professional papers online.

Can I edit hra beneficiary designation form on an Android device?

The pdfFiller app for Android allows you to edit PDF files like hra beneficiary designation form. Mobile document editing, signing, and sending. Install the app to ease document management anywhere.

What is hra beneficiary designation form?

The hra beneficiary designation form is a document that allows an individual to specify who will receive their Health Reimbursement Arrangement (HRA) funds upon their death.

Who is required to file hra beneficiary designation form?

Any individual who has a Health Reimbursement Arrangement (HRA) account may be required to file a beneficiary designation form.

How to fill out hra beneficiary designation form?

To fill out the hra beneficiary designation form, you will need to provide your personal information, the name of your chosen beneficiary, and the percentage of the funds they will receive.

What is the purpose of hra beneficiary designation form?

The purpose of the hra beneficiary designation form is to ensure that your HRA funds are distributed according to your wishes after your death.

What information must be reported on hra beneficiary designation form?

The hra beneficiary designation form will require personal information such as your name, address, contact information, as well as the name and contact information of your chosen beneficiary.

Fill out your hra beneficiary designation form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now