823F Envelope Specs 8-2026.doc

Illinois Department of

Healthcare and Family Services (HFS)

8/21/2026

HFS 823F (R-2-12) IL478-0000 DCSE Forms Consolidation Envelope

SPECIFICATIONS, 1 of 3

Quantity:

20,000 Format:

Printed 9” x 12” – 28 # Brown Kraft, Open Side, Auto self-seal

Flap, Center Seam, Window, printed front in black ink

Overall Form Size:

9” x 12”

Actual Form Size:

9” x 12”

Paper Stock, Weight & Color:

28 # Brown Kraft (recycled)

Style:

Book/Portrait

Window Size:

4” wide x 1 ¾ high Window Placement:

Vertical Window

1” from bottom of envelope

2 ¼” from left edge of envelope

Window:

On inside construction of envelope – window to be covered with one piece of clear or translucent material

(polyethylene). Glued securely along all edges of cut-out so as not to interfere with insertion of contents and to be free of streaks, wrinkles and glares.

Window Glassine Size:

2 ¾” x 5”

Flap:

Open side, auto self-seal flap (12” side)

Depth of flap is 2”

Corner of flap to be rounded.

Flap Adhesive:

Self-seal adhesive. Adhesive to be of high quality to ensure a good seal for the safety of contents.

Seam Construction

The reverse side of the envelopes to have a CENTER SEAM construction with RIGHT Flap/lip over the left.

SPECIFICATIONS, 2 OF 3

Printed Corner Card:

Placed in upper left hand corner of the 9” side of envelope.

Mail Drop:_____-____-______-______-____

Bldg # Floor # Room# Drop # Initials

UNDELIVERABLE MAIL PROCESSING UNIT

823F Illinois Department of Healthcare and Family Services

(R-2-12) Division of Child Support Enforcement

PO Box 19119

Springfield IL 62794-9119

USA

ADDRESS SERVICE REQUESTED

Envelope Proof/Mock-up:

REQUIRED for approval before total job production can begin.

Send to:

Steve Dorchinecz

Healthcare and Family Services

Forms Control & Design

2946 Old Rochester Road

Springfield, Illinois 62703

Telephone 217/785-9507 Awarded vendor to submit within 10 days upon receipt

Of the Illinois Department of Healthcare and Family Services-

Purchase Order number to:

Healthcare and Family Services

Forms Control & Design

Springfield, Illinois 62703

Telephone 217/785-9507

SPECIFICATIONS, 3 OF 3

Packaging:

500 envelopes per case / carton

Envelopes must be flat with self-seal flaps open in the box, In the case/carton and on the pallet.

Package Identification:

Each case/carton to be plainly marked/ identified/labeled on the outside or exterior of container as to content, quantity of the forms in the case/carton and the Illinois Department of Healthcare and Family Services – Purchase Order number

HFS 823F (R-2-12)

Quantity in – 500 per case

(IL Dept. Healthcare and Family Services Purchase Order number)

Shipping:

Ship on 40” x 48” partial bottom, SOLID TOP wood, non-returnable pallets.

case/ cartons to be stacked in such manner that the envelopes therein remain flat, strapped or shrink-wrapped to pallets.

All invoices, bills of lading, weigh bills and correspondence must contain the Illinois Department of Healthcare and Family Services purchase order number. Freight to be included in bid and pre-paid by vendor.

Ship Destination:

Illinois Department of Healthcare and

Family Services Warehouse

Springfield, IL 62703

ATTN: Drake Sisti

217/558-1082 Overrun/Underrun:

No overruns will be accepted, Underrun will be limited to 2%

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