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HSA TRANSFER FORM: INDIVIDUAL Instructions 1. Complete this form and send it to your Current Custodian to initiate a direct transfer of funds from your HSA to Healthcare Bank. 2. Keep a copy of this
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How to fill out hsa transfer form individual

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How to fill out hsa transfer form individual

01
Obtain the HSA transfer form for individuals from your current HSA provider.
02
Fill in your personal information such as name, address, and account number.
03
Provide the details of the receiving HSA provider, including their name, address, and account number.
04
Indicate the amount you wish to transfer from your current HSA to the new HSA.
05
Sign and date the form to authorize the transfer.
06
Submit the completed form to your current HSA provider for processing.

Who needs hsa transfer form individual?

01
Individuals who have an HSA account and wish to transfer funds to a different HSA provider.
02
Individuals who are changing jobs and need to move their HSA funds to a new account.
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The HSA transfer form for individuals is a document that facilitates the transfer of funds from one Health Savings Account (HSA) to another without incurring tax penalties.
Individuals transferring their Health Savings Account funds from one custodian or trustee to another are required to file the HSA transfer form.
To fill out the HSA transfer form, you need to provide your personal information, details of the current HSA custodian, details of the new HSA custodian, and the amount to be transferred.
The purpose of the HSA transfer form is to ensure that the transfer of funds between HSAs is processed correctly and complies with IRS regulations, allowing the individual to maintain the tax benefits of the accounts.
The form must include personal identification information, current HSA account details, new HSA account details, and the amount being transferred.
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