Cornerstone User Information

Authorized Vendor Form

Important!

Please contact Pat Tribbet at (217) 492-5666, for verification of prices listed* on the form, ordering deadlines, and for any other assistance.

The AV form can be completed:

• electronically by tabbing through each field and typing in the information.  The "Signature of Responsible Agency Official" can be completed by inserting the individual's signature graphic (.JPG, .GIF, etc.) in the field. If a signature graphic is not available, click on the "Print Form" button to print the otherwise completed form, and obtain the handwritten signature before submitting.
• by clicking on the “Print Form” button in the top right corner to print the form, then writing in the information by hand.   

Additional information can be found on the Completing and Submitting Cornerstone Forms page.

Please mail completed forms (with signature), proof of tax exempt status (copy of E-99 letter) and payment to:
CQA Authorized Vendor Program
CQuest
500 South 9th Street
Springfield, IL 62701

*Prices and models are subject to change without notice. Please allow eight (8) to ten (10) weeks for delivery.

Also please note that in order to participate in the AV program, your Agency is required to have completed the most recent annual inventory process. Hardware Services staff will notify you if your site has not completed the inventory process. The Agency will then be required to conduct the physical inventory in order to continue with the AV process.

Continue Accessing AV Forms (Updated 07/26/10)