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HSA for Accountholders –
Open New Accounts & Manage Existing Accounts

General HSA Information

1 HSA Color Brochure - English Download
2 HSA Color Brochure - Spanish Download
3 HSA how to set up account - English Download
4 HSA how to set up account - Spanish Download
5 HSA service packages & fees - English Download
6 HSA service packages & fees - Spanish Download
7 HSA Debit Card Education - English Download
8 HSA Debit Card Education - Spanish Download
9 HSA Sample Eligible Expense - English Download
10 HSA Sterling Guide to Tax Related Questions - English Download
11 HSA Subscriber Website Guide Download

HSA New Account Opening Forms

12 HSA Individual Enrollment Kit - English Download
13 HSA Individual Enrollment Kit - Spanish Download
14 HSA individual application- English Download
15 HSA individual application- Spanish Download
16 HSA administrative services agreement - English Download
17 HSA administrative services agreement - Spanish Download

HSA Account Management Forms

18 HSA Request For Debit Card - English Download
19 HSA Request For Debit card - Spanish Download
20 HSA transfer of assets - English Download
21 HSA beneficiary designation form - English Download
22 HSA beneficiary designation form - Spanish Download
23 HSA deposit form - English Download
24 HSA deposit form - Spanish Download
25 HSA request for disbursement - English Download
26 HSA request for disbursement - Spanish Download
27 HSA request for account change - English Download
28 HSA name Sterling as interested party - English Download
29 HSA Rollover Request - English Download
30 HSA terminate account form - English Download
31 HSA payroll deduction - English Download
32 HSA payroll deduction - Spanish Download
33 HSA Privacy Waiver Form Download

HSA for Employers - Account Opening & Management

34 HSA Employer Enrollment Kit Download
35 HSA List Bill - Excel Download
36 HSA Employer "How-To" Checklist Download
37 HSA Employer Group Application Download
38 HSA Payroll Deduction - English Download
39 HSA Payroll Deduction- Spanish Download
40 HSA Request for Return of Mistaken Employer Contribution Download
41 HSA Administration Instructions - English Download
42 HSA Employer Website Guide Download
43 HSA Employer ACH Authorization Form Download