Download the Fidelity Health Savings Account (HSA) Application Supporting Documents

Please agree to the electronic delivery of the documents that will govern your account. You can then download the account application on the next page.

Open, read, and print the application's supporting documents

Fidelity HSA Customer Agreement and Other Required Documents (PDF)
This PDF contains documents that govern your account, including the customer agreement and information concerning the FDIC sweep program, privacy, fees, commissions, and your core position.

We encourage you to print or save these documents for future reference.

You can have paper a copy mailed to you by calling 800-544-6666.

Agree that we have provided you with the supporting documents online

By selecting I Agree, you consent to electronic delivery of the Fidelity HSA Custodial Agreement, Fidelity Brokerage HSA Customer Account Agreement, Brokerage Commission and Fee Schedule, FDIC-Insured Deposit Sweep Disclosure, Program Bank list, Privacy Notice, and Important Tax Information (and any other required document, as amended from time to time).

The Account Application will be available on the next page.