Welcome to Kansas Insurance Department

Kansas Insurance Commissioner
Ken Selzer, CPA

  • Kansas Insurance Department
  • 420 SW 9th Street
  • Topeka, Kansas 66612-1678
  • Consumer Hotline: 800-432-2484 (KS only)
  • Email Us | Phone: 785-296-3071

Kansas Securities Commission
A division of the Insurance Department

Request a Speaker

Please complete the following information to request a speaker from the Kansas Insurance Department.
Request subject to availability.

 

Event Date:
Event Time:
Number Attending:

 

Group or Organization:
 
Contact Information:
Name:
Email:
Phone: (XXX) XXX-XXX format
Cell Phone: (XXX) XXX-XXXX
Fax: (XXX) XXX-XXXX

 

Event Information:
Event Name:
Address:
City: State: Zip:
Contact at Event:
Phone: (XXX) XXX-XXXX
Is the event open to the public? Yes: No:
Will a meal be served? Yes: No:
Is this a request for the Commissioner only? Yes: No:
If the Commissioner is not available, would another department representative be OK? Yes: No:
Special Directions to the Event:

 

Type of Appearance:
Appearance Only: Keynote Speaker: Welcome:
Brief Remarks: Drop by:  
Exact Speaking
Time:
Time Allowed for
Speech:
Q & A
Time:
The Commissioner, or designated speaker, is available to speak on one of these topics. Please select one:
Other Speakers:
Who Introduces?
Who will greet the Commissioner or speaker?
Attire:
Is there an LCD Projector, Screen and Laptop Available? Yes: No:
Media Contact:
Bio requested? Yes: No: (Available Online, opens in new window)
Photo Requested? Yes: No: (Available Online, opens in new window)
Additional Information: