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Ohio Department of Insurance Consumer Services

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 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  *
    Event Time  *
    Number Expected 
    To Attend     		 *
    Event Address  *
    Event Address 2 
    Event City  *
    Event State  *
    Event Zip  *
    Daytime Phone  *    (Phone Format: 9999999999)
    E-mail  *
    Request Comments 
    (Suggested Topic 
    for Speech, etc.)     		 *
    Enter the validation code (shown with a colored background) without spaces into the text box before submitting your request.
    c Z t r n t b  

    The State of Ohio is an Equal Opportunity Employer

    50 W. Town Street, Third Floor - Suite 300   Columbus, Ohio   43215
    General Info: 614-644-2658  |  Consumer Hotline: 800-686-1526  |  Fraud Hotline: 800-686-1527  |  OSHIIP Hotline: 800-686-1578