401(K) Loan Payoff
Complete and submit this form.

  2009 Flexible Spending Account Tax Information and Worksheets
Use this form to calculate FSA contributions if you are a New Hire, during Annual Election or when you have a Qualified Status Change (limitations apply)

  Hourly Thrift Rollover Form
Print and complete this form if you have a 401(k) account from a previous employer that you would like to rollover to your CITGO 401(k) account.

  Salaried RASP Rollover Form
Print and complete this form if you have a 401(k) account from a previous employer that you would like to rollover to your CITGO 401(k) account.

  Prescription Drug Mail Order Form
Use this form to mail in a prescription your doctor has already written.

  Prescription Drug Fax Form
Print and bring a fax form to your doctor to request new prescriptions. This form can be completed and faxed to our mail order pharmacy by your doctor.