IRIS 5498-SA CSV template and checker

Form 5498-SA, HSA, Archer MSA, or Medicare Advantage MSA Information, can be filed in the IRIS Taxpayer Portal with a CSV upload. Its template has 42 columns, 15 of them required, including 6 form box columns. Drop your file below to check it against every IRS rule, or read the column list further down.

Your file never leaves this computer. The 5498-SA rules load from this site, and your file is checked inside this browser tab. Nothing is uploaded.
Free. Checks every column against the IRS formatting guidelines.

Download the blank 5498-SA header (CSV) All IRIS templates

Built from the IRS TY2025 Template Formatting Guidelines, the latest posted. IRIS checks the header row against the template you download inside the portal, so upload with that one. Columns marked required are starred in the IRS guidelines.

Upload limits for every IRIS CSV

All 42 columns

Col.FieldRequiredExampleFormatting rules
AForm Type5498-SA
BTax Year2025
CTrustee TIN TypeYesSSNMust be entered as "SSN" and "EIN"
DTrustee Taxpayer ID NumberYes123-23-1234Digits and dashes only
Business TINs (EIN) must be in XX-XXXXXXX format
Individual TINs (SSN) must be in XXX-XX-XXXX format
ETrustee Name TypeYesBMust be entered as "B" for Business Name or "I" for Individual
FTrustee Business or Entity Name Line 1YesJohn Finch CompanyRequired if Name Type = "B"
Length: Max 40 characters
May only contain alphabet letters, numbers, blank space (), and the following special characters: hyphen (-), pound (#), parentheses (), ampersand (&), and apostrophe (')
May not contain leading, trailing, and adjacent spaces
GTrustee Business or Entity Name Line 2Length: Max 40 characters
May only contain alphabet letters, numbers, blank space (), and the following special characters: hyphen (-), pound (#), parentheses (), ampersand (&), apostrophe ('), slash (/), and percent (%)
May not contain leading, trailing, and adjacent spaces
HTrustee First NameJohnRequired if Name Type = "I"
Required if Last Name is filled out
Length: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
ITrustee Middle NameJamesLength: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
JTrustee Last Name (Surname)FinchRequired if Name Type = "I"
Required if First Name is filled out
Length: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
KTrustee SuffixLength: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
LTrustee CountryYesUSMust be entered according to their designated country abbreviation
Link to country abbreviations: https://www.irs.gov/e-file- providers/foreign-country-code-listing-for-modernized-e-file
MTrustee Address Line 1Yes1234 Midway RdLength: Max 35 characters
May only be alpha-numeric characters and the following special characters: hyphen ( - ) slash ( / ) space ( )
May not contain leading, trailing, and adjacent spaces
NTrustee Address Line 2Length: Max 35 characters
May only be alpha-numeric characters and the following special characters: hyphen ( - ) slash ( / ) space ( )
May not contain leading, trailing, and adjacent spaces
OTrustee City/TownYesDallasLength: Max 40 characters
May only be alphabet characters and the following special characters: space ( )
May not contain leading, trailing, and adjacent spaces
PTrustee State/Province/TerritoryYesTexas (TX)[Domestic]
Must be entered as their 2 letter abbreviation
Link to 2 letter abbreviation: https://www.irs.gov/pub/irs- utl/zip code and state abbreviations.pdf _ _ _ _ [Foreign]
Length: Max 17 characters
Alpha-numeric characters (A-Z, 0-9) and spaces only
May not contain leading, trailing, and adjacent spaces
QTrustee ZIP/Postal CodeYes12309[Domestic]
Length: Exactly 5, 9 or 12 characters
Digits only [Foreign]
Length: Max 9 characters
Alpha-numeric characters only (A-Z, 0-9)
RTrustee Phone TypeDMust be entered as "D" for Domestic or "I" for International
STrustee Phone2145555555Domestic Phone must be in one of the following formats: 1231231234, 123-123-1234, (123) 123-1234
International Phone must be 15 digits or less and may only include the "+" symbol at the beginning
TParticipant TIN TypeSSNRequired if TaxBorrower ID Number is entered.
Must be entered as "SSN", "EIN", "ATIN", "ITIN", "QI-EIN", or "UND"
UParticipant Taxpayer ID Number123-23-1234Business TINs (EIN, QI-EIN) must be in XX-XXXXXXX format
Individual TINs (SSN, ITIN, ATIN) must be in XXX-XX-XXXX format
Undeterminable TINs (UND) must be in XXXXXXXXX format
VParticipant Name TypeYesBMust be entered as "B" for Business Name or "I" for Individual
WParticipant Business or Entity Name Line 1ABC123Required if Name Type = "B"
Length: Max 40 characters
May only contain alphabet letters, numbers, blank space (), and the following special characters: hyphen (-), pound (#), parentheses (), ampersand (&), and apostrophe (')
May not contain leading, trailing, and adjacent spaces
XParticipant Business or Entity Name Line 2Length: Max 40 characters
May only contain alphabet letters, numbers, blank space (), and the following special characters: hyphen (-), pound (#), parentheses (), ampersand (&), apostrophe ('), slash (/), and percent (%)
May not contain leading, trailing, and adjacent spaces
YParticipant First NameSarahRequired if Name Type = "I"
Required if Last Name is filled out
Length: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
ZParticipant Middle NameJasminLength: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
AAParticipant Last Name (Surname)FinchRequired if Name Type = "I"
Required if First Name is filled out
Length: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
ABParticipant SuffixLength: Max 20 characters
May only contain alphabet letters, blanks ( ) and hyphens (-)
May not contain leading, trailing, and adjacent spaces
ACParticipant CountryYesUSMust be entered according to their designated country abbreviation
Link to country abbreviations: https://www.irs.gov/e-file- providers/foreign-country-code-listing-for-modernized-e-file
ADParticipant Address Line 1Yes1234 Midway RdLength: Max 35 characters
May only be alpha-numeric characters and the following special characters: hyphen ( - ) slash ( / ) space ( )
May not contain leading, trailing, and adjacent spaces
AEParticipant Address Line 2Length: Max 35 characters
May only be alpha-numeric characters and the following special characters: hyphen ( - ) slash ( / ) space ( )
May not contain leading, trailing, and adjacent spaces
AFParticipant City/TownYesDallasLength: Max 40 characters
May only be alphabet characters and the following special characters: space ( )
May not contain leading, trailing, and adjacent spaces
AGParticipant State/Province/TerritoryYesTX[Domestic]
Must be entered as their 2 letter abbreviation
Link to 2 letter abbreviation: https://www.irs.gov/pub/irs- utl/zip code and state abbreviations.pdf _ _ _ _ [Foreign]
Length: Max 17 characters
Alpha-numeric characters (A-Z, 0-9) and spaces only
May not contain leading, trailing, and adjacent spaces
AHParticipant ZIP/Postal CodeYes12309[Domestic]
Length: Exactly 5, 9 or 12 characters
Digits only [Foreign]
Length: Max 9 characters
Alpha-numeric characters only (A-Z, 0-9)
AIOffice Code1234Length: Exactly 4 digits
AJForm Account NumberABC12345Length: Max 20 characters
May not be the same as the Payer or Recipient Taxpayer ID Number
AKBox 1 - Employee’s or self- employed person’s Archer MSA contributions made in 2025 and 2026 for 20251000.00$0 to $999,999,999,999,999
Cannot be negative
Digits only except 1 decimal is allowed
Must have no more than two digits after the decimal. Check for long numbers in money amount fields that may have been formatted in scientific notation. For example: 1.045E+5.
ALBox 2 - Total Contributions Made in 20252000$0 to $999,999,999,999,999
Cannot be negative
Digits only except 1 decimal is allowed
Must have no more than two digits after the decimal. Check for long numbers in money amount fields that may have been formatted in scientific notation. For example: 1.045E+5.
AMBox 3 - Total HSA or Archer MSA contributions made in 2026 for 20251000$0 to $999,999,999,999,999
Cannot be negative
Digits only except 1 decimal is allowed
Must have no more than two digits after the decimal. Check for long numbers in money amount fields that may have been formatted in scientific notation. For example: 1.045E+5.
ANBox 4 - Rollover contributions500.50$0 to $999,999,999,999,999
Cannot be negative
Digits only except 1 decimal is allowed
Must have no more than two digits after the decimal. Check for long numbers in money amount fields that may have been formatted in scientific notation. For example: 1.045E+5.
AOBox 5 - Fair market value of HSA, Archer MSA, or MA MSA1000$0 to $999,999,999,999,999
Cannot be negative
Digits only except 1 decimal is allowed
Must have no more than two digits after the decimal. Check for long numbers in money amount fields that may have been formatted in scientific notation. For example: 1.045E+5.
APBox 6 - Indicate if this account is an HSA, Archer MSA, or MA MSAHSAMust be entered as "HSA", "Archer", or "MA MSA".

What the checker does

Date columns: the IRS guidelines ask for MM/DD/YYYY but also say "Max 8 characters, Digits only". The checker accepts both MM/DD/YYYY and MMDDYYYY. If the portal rejects one, try the other.

For 1099-NEC and 1099-MISC, the main IRIS CSV tool goes further: it builds the template from QuickBooks, Excel or FIRE files.

Frequently asked questions

Where do I download the official 5498-SA CSV template?
Sign in to the IRIS Taxpayer Portal, open Upload CSV with Form Data, choose 5498-SA and the tax year, and select Download. The formatting guidelines are linked in the FAQ box on the same page.
How many 5498-SA records can one CSV hold?
Up to 250 records per file, not counting the header, and the file must be 100KB or less. The portal then submits at most 100 forms at a time.
What does "required" mean here?
The IRS guidelines mark these columns with an asterisk. Other columns can still become required by a rule, for example a TIN type when a TIN is entered.

Sources

Last reviewed November 1, 2026.

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