File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual. Current revision Form 8889 PDF Instructions for Form 8889 (Print version PDF) Recent developments None at this time Other items you may find useful All Form 8889 revisions About Publication 502, Medical and Dental Expenses About Publication 590-A, Contributions to Individual Retirement Arrangements (IRAs) About Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans Filing extension and other relief for Form 1040 filers Other current products Related items About Form 1040, U.S. Individual Income Tax Return About Form 1040-NR, U.S. Nonresident Alien Income Tax Return About Form 5329, Additional Taxes on Qualified Plans (including IRAs) and Other Tax-Favored Accounts
