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The Health Savings Account (HSA) Distribution Form is designed to assist you in selecting an HSA distribution reason and method. Applicable law or policies of the HSA custodian/trustee may require additional documentation. A separate distributionform must be completed for each distributionreason. It is in your best interest to seek the
The actual expense must be reported and cannot have been reimbursed. HOW TO REPORT / SUPPORTING DOCUMENTATION. You can claim a deduction for an unreimbursed employee business expense by filing a PA Schedule UE, Allowable Employee Business Expenses form along with your PA-40 Personal Income Tax Return. Review the instructions beginning on Page 25 of the PA-40IN to determine if you can deduct expenses from your PA-taxable compensation.