How to Fill Out an HSA Product Classification Form

When it comes to Health Savings Accounts (HSAs), understanding the necessary forms and classifications is essential. One key form that account holders may encounter is the HSA product classification form, which helps determine the eligibility of expenses for HSA funds. Here's a step-by-step guide on how to fill out an HSA product classification form:

  1. Start by obtaining the HSA product classification form from your HSA provider or administrator.
  2. Ensure that you have all the relevant receipts and documentation for the expense you are seeking classification for.
  3. Provide your personal information, including your name, HSA account number, and contact details, at the top of the form.
  4. Enter the date of the expense and a brief description of the item or service purchased.
  5. Indicate the total amount of the expense and specify whether it is a qualified medical expense according to IRS guidelines.
  6. Attach copies of receipts or invoices to support the classification of the expense.
  7. Review the form to make sure all information is accurate and complete.
  8. Submit the form and supporting documents to your HSA provider for review and processing.

By following these steps, you can ensure that your HSA product classification form is filled out correctly and that your eligible medical expenses are properly classified for reimbursement from your HSA.


Navigating the world of Health Savings Accounts (HSAs) can be daunting, but filling out the HSA product classification form doesn't have to be. It's crucial for determining which of your medical expenses can be reimbursed using your HSA funds. To start, simply obtain your HSA product classification form from your provider and keep all related receipts handy.

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