Ohio Department of Insurance Consumer Services

 Online Consumer Outreach and Speaker Request
  • Complete all required fields below. Required fields are marked with an *.
  • The Department offers outreach through many different means.
  • Speakers for civic or professional group meetings
    		•
  • Trade shows
    		•
  • Health fairs
  • Seminars
  • Use the form below to supply the Department with the information we need to schedule a speaker for your event. Please supply your daytime phone number in case we need further information from you. Please use the comments box to tell us the topic you want the speaker to present (for example: auto insurance; Medicare supplement insurance; annuity contracts; etc.).
  • If you have further questions, please call (614) 644-3366.
    • Your Name  *
    Organization 
    Name     		 *
    Event Date  *
    Time  *
    Number Expected To Attend  *
    Event Address  *
    Address 2 
    Event City  *
    State  *
    Zip  *
    Daytime Phone  *
    E-mail  *
    Request 
    Comments     		 *