Ah! I am glad you came back with a fuller description.
Yes, you would report ONLY money that was placed into your HSA account. If the transaction log at your HSA (you can probably see this online), doesn't show a contribution, then you don't report it (as an HSA contribution, anyway).
Your employer may be handling this as a limited purpose FSA, which would not affect your HSA. You might ask your employer how they are treating this.
Thanks for coming back and clarifying.
