How to use or fill out UMB BANK, N A HEALTH SAVINGS ACCOUNT
- Click ‘Get Form’ to open the UMB Health Savings Account Closure Form in the editor.
- Begin by entering your UMB Health Savings Account Number, which is a 10-digit number found on your HSA statement.
- Fill in your personal details including your name, Social Security Number, email, date of birth, phone number, and address.
- Select the reason for closing your account from the options provided: permanent disability, no longer covered by an HSA qualified plan, or other. Ensure you understand the tax implications of your choice.
- Sign the form physically as electronic signatures are not accepted. Make sure to date your signature.
- Return the completed form via mail or email it as a scanned document to the specified addresses provided at the bottom of the form.
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