Forms Volunteers Need
Use this form to submit reimbursements for purchase you made to support HSA activities.
Pennsylvania Exemption Certificate REV-1220
Merion HSA is a 501(c)(3) charitable organization with a tax exempt number. The tax exempt number allows purchases for HSA activities to be excluded from having sales tax applied. If you are purchasing a taxable item, then you may request a copy of the Pennsylvania Exemption Certificate form to give to the seller. Please always check with customer service at a store before heading to the register. Many stores have registration procedures in place. We also have tax exempt customer numbers for certain stores. Email treasurermerion19066@gmail.com for a copy of the certificate.
Record of deposit form.