General Forms
FirstHSA Health Savings Account Application (PDF, 32k)
CPA Lawyer Attestation Form (PDF, 92k)
Small Group Employer Request for Coverage PH-2000 (PDF, 23k)
Large Group Request for Coverage PH-3000 (PDF, 37k)
ID Card (PDF, 38k)
Employee Enrollment and Change Form (PDF, 71k)
Waiver of Coverage (PDF, 90k)
FirstHSA Employer Contribution Worksheet (Excel, 74k)
W9 Form (PDF, 32k)

Information
EOB-Explanation (PDF, 35k)
Healthcare Fraud (PDF, 32k)
Notice of Our Information Privacy Policies and Practices (PDF, 32k)
Notice of Privacy Practices (PDF, 89k)
Notice of Women's Health & Cancer Rights (PDF, 30k)
How to Reach Us (PDF, 30k)