Forms - Reilly Construction

Reilly Construction Co., Inc. has provided the latest forms for your use. You will need Adobe Acrobat Reader (TM) to view them. Should you need a copy of Adobe, click on the link below.

In addition, these forms are designed to be filled in right on our website, however you can not e-mail them directly back to us. Please complete the form online, form, print it out and send it the office.

Payroll Forms

Direct Deposit Enrollment Form
- Last Updated: January 2005
Federal W-4
- Last Updated: February 2018
State of Iowa W-4
- Last Updated: February 2018
I-9 Form
- Last Updated: February 2018

Group Insurance Forms

Life Insurance Beneficiary Change Form
Long Term Disability Form

401K Forms

John Hancock Employee Information Change Request Form
John Hancock Beneficiary Designation Form

Employee Concern Form

Reilly Construction Co., Inc. in its effort to provide a harmonious work environment, takes comments and concerns very seriously. Should you feel that you would like to file a concern with management, please fill out the form below. Please remember, all the information submitted shall be held in confidence.

Employee Concern Form *

Last Name *

***OPTIONAL*** If you provide your email address, this will allow us to respond to you in the quickest manner possible. If you do not have an email address, we will forward our findings/actions to you in your next pay check.

What type of complaint would you like to report?

Complaint About a Fellow Employee

If this is a complaint about a fellow employee, enter the persons name for whom this complaint is about (i.e. John Doe). If there is more than one person, use the comment field below to list the additional names.

Harrassment Complaint

If this is a harassment complaint enter the persons name for whom this complaint is about (i.e. John Doe). If there is more than one person, use the comment field below to list the additional names.

Give detailed information regarding your concern or complaint *

Attach a File

Drop your files here or click here to upload You can upload up to 10 files.

Should you desire to attach a file, please do so here saved as a jpg, png, pdf, word, or doc.

ALL INFORMATION SHALL BE CONSIDERED CONFIDENTIAL.

Company Suggestion Form

First Name *

Last Name *

Email *

Enter your suggestion or cost saving idea *

Message

Check your project bulletin board for the appropriate Davis Bacon Wage Scale for your project, or ask your Foreman.