Address for Return Mail:Hsa Application and Agreement • December 8th, 2016
SOLIDARITY COMMUNITY FEDERAL CREDIT UNION HSA APPLICATION AND AGREEMENTHsa Application and Agreement • November 2nd, 2006
General Instructions. A beneficiary can be a person, trust, charity, or your estate. Write only one beneficiary on each line. Make sure that you write the full names of all beneficiaries. For example, if you name your children as beneficiaries, DO NOT merely write “children” on one of the lines; instead, write the full names of all your children on separate lines.
