Request for a Transfer to a Health Savings Account

This form will assist you in the movement of assets from one HSA to another HSA or from an Archer Medical Savings Account (MSA) to an HSA.

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Request for a Transfer to a HSA form will assist you in the movement of assets from on HSA to another HSA or from an Archer Medical Savings Account to an HSA.

RequestTransfer2HealthSvngsAcct.xml