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Ellington Board of Education Health Savings Account (HSA) 2011-2012 Payroll Deduction Form Please complete the employee information below and sign this form authorizing or refusing the optional pre-tax
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2hsa deduction form is a form used to report deductions made from an individual's income for contributions to a Health Savings Account (HSA).
Individuals who have made contributions to a Health Savings Account (HSA) are required to file the 2hsa deduction form.
To fill out the 2hsa deduction form, individuals must provide information on their contributions to a Health Savings Account (HSA) as well as any other required details such as name, address, and Social Security number.
The purpose of the 2hsa deduction form is to report and claim deductions for contributions made to a Health Savings Account (HSA) on an individual's tax return.
The 2hsa deduction form must include information on the individual's contributions to a Health Savings Account (HSA) for the tax year.
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