Form 8889, Health Savings Accounts (HSAs)

File Form 8889 to:

Form 8889 (PDF)

None at this time.

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