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Return of Mistaken HSA Contribution Form Email, fax, or mail completed forms to: Email: hsaoperations@motivhealth.com Fax: 844.533.1289 Mail:MotivHealth, Attention: HSA Operations PO Box 709718 Sandy,

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How to fill out hsa contribution correction form

01

Obtain the HSA contribution correction form from your HSA provider or the IRS website.

02

Fill out your personal information, including name and Social Security number.

03

Specify the tax year for which you are making the correction.

04

Indicate the amount of the correction you are making.

05

Provide an explanation for why the correction is necessary.

06

Sign and date the form before submitting it to your HSA provider or the IRS.

Who needs hsa contribution correction form?

01

Individuals who have contributed an incorrect amount to their HSA

02

People who have exceeded the annual contribution limit for their HSA

03

Those who have made contributions to an ineligible HSA account

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What is hsa contribution correction form?

The hsa contribution correction form is used to correct errors or discrepancies in contributions made to a Health Savings Account (HSA).

Who is required to file hsa contribution correction form?

Anyone who has made contributions to an HSA and needs to correct any errors or discrepancies in those contributions is required to file the hsa contribution correction form.

How to fill out hsa contribution correction form?

To fill out the hsa contribution correction form, you will need to provide information about the incorrect contributions, the correct contributions, and the reason for the correction.

What is the purpose of hsa contribution correction form?

The purpose of the hsa contribution correction form is to ensure that contributions made to an HSA are accurate and in compliance with IRS regulations.

What information must be reported on hsa contribution correction form?

The hsa contribution correction form must include details of the incorrect contributions, the correct contributions, and the reason for the correction.

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