Download the HSA Forms
The forms are fill-able PDFs.
Click on the forms and save to your computer fill them out then Print & Sign!
You will need Acrobat reader to view and fill in the forms.
[click here for the latest version of ACROBAT READER ]
| Account Type | Required Forms |
|---|---|
| Health Savings Account | Application |
| Fee Schedule | |
| 5305-C HSA Disclosure | |
| Client Release Form | |
| Optional Forms Roll Over / Direct Rollover Form Transfer Form |
|
Print & Sign
Sign your forms and make a copy for your records. Please be sure to include a copy of your photo ID and a check or money order including your account setup fee and minimum annual fee, per the fee disclosure.
Please do not email the form. Email is not a secure medium.
Banking regulations stipulate that the signed documents be delivered to Next Generation Trust
Mail them in
Mail to:
Next Generation Trust Services
75 Livingston Ave., 3rd Floor
Roseland NJ 07068