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Beneficiary Designation Forms

  401(K) Beneficiary Designation


This form should be completed when naming or changing the beneficiary of your 401K plan (RASP or Thrift)

Remember to review and update your beneficiary information as needed. If a designated beneficiary moves, has a name change or dies then you need to update your information by completing and returning a new beneficiary designation form. Return all forms to CITGO Petroleum Corporation (Corporate Office - Benefits), P.O. Box 4689, Houston, TX 77210-4689.

  Life Insurance Beneficiary Designation


This form should be completed when naming or changing the beneficiary of any or all of your life insurance plans

  Health Savings Account (HSA) Beneficiary Designation Form


This form should be completed when naming or changing the beneficiary of your Fidelity Health Savings Account (HSA)

  Trusts, Wills, Estates Beneficiary Designation Attachment


This form should be used when the beneficiary of either your life and/or 401K plan is a Trust. This form should be used in addition to the appropriate beneficiary designation form.

  Online Beneficiary Designation Information