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Additional Forms
Setting up a health savings account is simple. When you need a form to set up transactions or change your personal information, Avidia Health is here to help. Find electronic and printable forms below.
| Forms | Downloads |
|---|---|
| Account Maintenance | Mailed Form |
| Authorized Signer Form | Mailed Form |
| Beneficiary Form | Mailed Form |
| Check Order Form | Mailed Form |
| Contribution (Individual) Form | Mailed Form |
| Contribution Correction Form | Mailed Form |
| Distribution Reversal Form | Mailed Form |
| Account Closure Form | Mailed Form |
| Internal Transfer | Mailed Form |
| Rollover Form | Mailed Form |
| Custodial Transfer Form | Mailed Form |
If you need additional assistance, contact us directly and we’ll be glad to send you the forms: 855.248.6311 or HSADeposits@avidiabank.com.
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