69 Derek Rankin.pdf
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- Attached to
- Release State Use/Facilities for Persons with Severe Disabilities IL|25-416CMS-BOSS4-P-75951
- Contract number
- 25-416CMS-BOSS4-P-75951
- Issued by
- Illinois
About this file
This document is a Business Card Request Form completed by an employee of the Illinois state government. The form is specifically for an individual in the Elevators Division, indicating it is an internal administrative document for ordering new business cards.
The form details are for Derek Rankin, an Elevator Inspector for the South Region, with contact information including an office address at 555 W Monroe Street in Chicago. The order is for 1,000 business cards to be delivered to Springfield, with the employee's title, phone numbers (office: 312-814-1325, cell: 312-610-0168), and government email (derek.w.rankin@illinois.gov) to be printed on the cards. The form represents a standard internal process for updating and reordering official business identification materials for a state government employee.
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Derek Rankin 05:28 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
Please attach a picture of your current business card with this order. Please mark any changes on the business card or make notes below.
2.
Division * 3.
Elevators
11/20/25, 11:16 AM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 1/3
Name (as appears on card) * 4.
Derek Rankin
Title * 5.
Elevator Inspector South Region
Address * 6.
555 W Monroe Street
Office Number * 7.
312-814-1325
Cell Number * 8.
312-610-0168
Fax Numer * 9.
312-814-1325
Email * 10.
derek.w.rankin@illinois.gov https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
List of changes, notes, or additions11.
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 3/3
File details come from the government source that posted it. Updated .