89 - Robert Gorman.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 Robert Gorman (Respondent 89) on May 12, 2026. The form was submitted to the State of Illinois, specifically the Division of Boilers within what appears to be a state agency responsible for boiler and pressure vessel safety.
The request is for a reorder of business cards with specified changes to the existing design. Gorman, who holds the title of Boiler & Pressure Vessel Safety Specialist, requested 1,000 business cards to be delivered to the Springfield location. Key modifications to the card include the removal of a main phone number (217-782-2696) and the addition of a "Counties Served" section on the back listing 13 counties: Adams, Brown, Cass, Calhoun, Christian, Greene, Jersey, Menard, Montgomery, Morgan, Pike, Sangamon, and Scott. The cards will display Gorman's office and cell number (217-993-2829), fax number (217-785-4184), office address (1035 Stevenson Drive, Springfield, Illinois 62703-4259), and email (Robert.Gorman@Illinois.gov).
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Other files
| File | Type | Posted |
|---|---|---|
| 90 Brett Clark.pdf | ||
| 90 Brett Clark.jpg | JPG image | |
| 89 Robert Gorman.jpg | JPG image |
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Text version
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Robert Gorman 14:34 Time to complete
Respondent
Re-order with NO CHANGES
Re-Order, SEE CHANGES BELOW
New Order
Order Request * 1.
Scan from 2026-05-12 08_52_55 AM_Robert Gorman.jpg
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.
5/12/26, 3:39 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 1/3 https://ilgov-my.sharepoint.com/personal/clint_everetts_illinois_gov/Documents/Apps/Microsoft%20Forms/Business%20Card%20Request%20Form/Question/Scan%20from%202026-05-12%2008_52_55%20AM_Robert%20Gorman.jpg
Division * 3.
Boilers
Name (as appears on card) * 4.
Bob Gorman
Title * 5.
Boiler & Pressure Vessel Safety Specialist
Address * 6.
1035 Stevenson Drive Springfield Illinois 62703-4259
Office Number * 7.
217-993-2829
Cell Number * 8.
217-993-2829
Fax Numer * 9.
217-785-4184
5/12/26, 3:39 PM Business Card Request Form https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=nwgia7qOPEaE9TFxIQ-QBYd4wejjQSBNhNZZyWb… 2/3
Email * 10.
Robert.Gorman@Illinois.gov
List of changes, notes, or additions11.
1. Remove Main Phone Number 217-782-2696 2. Add (Counties Served) to the back of card.
Adams, Brown, Cass, Calhoun, Christian, Greene, Jersey, Menard, Montgomery, Morgan, Pike, Sangamon, Scott
Quantity * 12.
Springfield
Chicago
Deliver to * 13.
5/12/26, 3:39 PM Business Card Request Form 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 .