Form 51-113 Health Savings Account Election Form - Orange County, Florida

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Form 51-113 Health Savings Account Election Form - Orange County, Florida

What Is Form 51-113?

This is a legal form that was released by the County Government - Orange County, Florida - a government authority operating within Florida. The form may be used strictly within Orange County. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 51-113?
A: Form 51-113 is the Health Savings Account Election Form.

Q: Who needs to fill out Form 51-113?
A: Residents of Orange County, Florida who wish to elect a Health Savings Account (HSA) need to fill out this form.

Q: What is a Health Savings Account (HSA)?
A: A Health Savings Account (HSA) is a tax-advantaged savings account that can be used to pay for medical expenses.

Q: What information is required on Form 51-113?
A: Form 51-113 requires personal information, employer information, and HSA contribution amount.

Q: Is Form 51-113 specific to Orange County, Florida?
A: Yes, Form 51-113 is specific to residents of Orange County, Florida.

Q: Can I use Form 51-113 for other purposes?
A: No, Form 51-113 is specifically for electing a Health Savings Account (HSA) and is not meant for other purposes.

Q: Are there any fees associated with Form 51-113?
A: There may be fees associated with opening and maintaining a Health Savings Account (HSA), but not with the form itself.

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Form Details:

  • Released on July 1, 2021;
  • The latest edition provided by the County Government - Orange County, Florida;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 51-113 by clicking the link below or browse more documents and templates provided by the County Government - Orange County, Florida.

Download Form 51-113 Health Savings Account Election Form - Orange County, Florida

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