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Form 8889 for Santa Clara California: What You Should Know

HSA). File information in your¬†HSA information system that is not required to be reported on Form 1040, 1040-PF, 1040-QI, 1040-SS, or Form 1099. HSA Tax Forms on File ‚ÄĒ City of Santa Clara I. Form 8890, Employee Retirement Accounts. J. Form 8765, Taxable HSA Contributions. K. Form 8870, Qualified HSA Distributions for Tax Purposes. Note:¬†For more information contact the Santa Clara County¬† The City of Santa Clara can give a discount on the above forms by completing the below form on the City's application and paying in full of cash or credit card.¬† Please complete the above¬†Form 8890, Employee Retirement Plans, online and upload¬†the completed¬†Form 8890 into e-Pay. Once you have filled out the form and submitted it, you must then pay in full to receive the discount. The¬† credit will not be applied until you have paid the fee and filled out and returned the completed form.¬† Form 8778, Health Savings Benefits Tax Form 8778 serves two purposes. It allows the County to notify Callers if you were a member of another HSA, if you received a contribution or reimbursement to your¬† HSA, if you provided¬†assistance to someone with an¬†HSA, if you received a reimbursement for an HSA contribution,¬†or to inform you if you¬† have a disability and that your¬† deductible¬†medical expenses are subject to reducibility Health Savings Account¬† Please complete the below forms on the¬† HSA Online system and upload into¬† HealthSavingsOnline.com. ¬† Once you have completed the forms you will send an e-mail when¬† you receive your¬†HSA refund/return. Once your HSA credit goes to your¬† Account, please contact your account provider and follow the instructions¬† on your e-mail to set up a paper¬†account. You can receive this¬† amount by mail, or electronically at your account provider's website. Please complete a statement and submit¬†the below forms to the¬† City of Santa Clara for a discount on the above forms by completing the¬†below form on the City's application and paying in full of cash or credit card.

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