Benefit Connections    Benefit Resources
Other Benefits Forms

  Change Of Address Request Form


This form should be completed when updating your address of record.

  Dependent Information Update Form


  2018 FSA 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)

  2019 FSA Tax Information and Worksheets


  Matching Gifts Program-Guidelines


  Matching Gift Program Form


CITGO Petroleum Corporation’s Matching Gift Program gives employees the opportunity to direct Company contributions to civic/community, cultural/artistic, education, environmental, health/human services and public broadcasting organizations.

  Verification Document Requirements