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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
How to Claim the Federal Tax Deduction for an HSA Contribution; Health Savings Account Contributions; You May Also Like. What Is the... Read Article West Elm Hacks to Get the Look for Less.nder Number 1, check Self-only or Family to indicate which type of HSA you hold. Use Part 1 to determine your HSA deduction, excess contributions made by you and excess contributions made by your employer. Maximum allowable contribution for a self-only account are $3,100, and $6,250 for a family HSA.