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Form 8889, Health Savings Accounts (HSAs)

Use Form 8889 to:

  • Report health savings account (HSA) contributions (including those made on your behalf and employer contributions),
  • Figure your HSA deduction,
  • Report distributions from HSAs, and
  • Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.

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Form 8889

Instructions for Form 8889 (HTML)

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Comment on Form 8889

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Page Last Reviewed or Updated: 04-Dec-2014