HSA Tax Form: A Guide to IRS Form 1099-SA-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the account holder's information in the designated fields, including their name and taxpayer identification number (TIN). Ensure accuracy to avoid issues with the IRS.
  3. In Box 1, input the total gross distribution amount. This should include any earnings reported separately in Box 2.
  4. For Box 2, enter any earnings on excess contributions that were distributed. If applicable, ensure you also select the correct distribution code in Box 3 based on the type of distribution.
  5. If reporting a death distribution, complete Box 4 with the fair market value (FMV) of the account as of the date of death. Follow specific instructions for accurate reporting.

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