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

  2019 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)

  2020 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