Download & Complete the HSA Beneficiary Distribution Form
Open, read, and print the appropriate document to send to Fidelity
HSA Beneficiary Distribution - Non-Spouse Beneficiary (PDF)
HSA Beneficiary Distribution - Estate, Trust, Entity, or Guardian/Conservator Beneficiary (PDF)
If you are unable to access these documents, you can have paper copies mailed to you by calling 800-343-3548.
To view the account's supporting documents, please return to the supporting documents page.
Questions?
- 800-343-3548 800-343-3548