Home Federal Health Savings Accounts

ACCOUNT HOLDER FORMS

New Account Forms and Information:

2009 HSA Application
HSA Individual Process

General Forms and Information:

HSA Beneficiary Form
HSA Rollover Request Form
HSA Transfer Form
HSA Customer Account Agreement

Investment Forms and Information:

HSA Mutual Funds
Transfer Mutual Fund Assets from Home Federal to Delaware
Transfer Mutual Fund Assets from Delaware to Home Federal

Agent Authorization Forms:

HSA Agent Authorization
HSA Authorization

Employer Forms and Information:

HSA Employer Process
HSA Employer Information Sheet
HSA Employer Deposit Distribution List
HSA Employer Deposit Distribution List

Agent Signup Forms:

HSA Sales Agreement
HSA W-9

For more information concerning Home Federals Health Savings Account program, please contact:

HSA Sales Associate:
Jared Marshall
800-888-7283 extension 5209
jmarshall@myhomefed.com
Home Federal Bank
P.O. Box 190
500 12th Avenue South
Nampa, ID 83651

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Contact Information
Mailing Address: Attn: Customer Services P. O. Box 190 Nampa, Idaho 83653	Customer Services: 1-800-888-7283 or Locally: (208) 466-4634
Home Line: 1-800-871-9505 or Locally: (208) 468-5000 Hours: Monday - Friday 8:30 a.m. - 6:00 p.m. Saturday 9:00 a.m. - 5:00 p.m.	HSA Sales Associate: 1-800-888-7283 x5209 Direct: (208) 468-5209 Fax: (208) 468-5045