Ask for a Speaker

Under certain circumstances, Social Security can provide a speaker to discuss our programs, benefits, and services. We provide speakers free of charge, and they are generally available during business hours only.

If you would like to request a speaker on behalf of your group, please complete the form provided below. All requests require at least 30 days advance notice to allow for scheduling arrangements. Please note that we are not able to fulfill all requests.

* Required Fields

General Information

Requester's First Name:* Last Name:* E-mail Address:* Street 1:* Street 2: City:* State:*

Title: Company/Organization Name:* Zip Code:* Audience:* Phone Number:* Fax Number:

Event Information (Please allow 30 days advance notice)

Add a my Social Security Sign-Up to Your Event

If you are interested in hosting a my Social Security sign-up event, please know that Social Security has speakers who can provide you more information. The sign up event can consist of a presentation of your preferred topic, followed by signing individuals up for a my Social Security online account. For more information, please click here.

Event Name: Date:* Time:* Expected Attendance:* Subject of Speech:*

Address 1: Address 2: City:* State:* Zip Code:*

Will Internet Connectivity Be Provided on Site?* Yes (preferred) No

Enter Any Additional Event Information:

Do you agree to use our service?

Print this page if you wish a printed copy of your request.

Ask for a Speaker

Thank you

General Information

Event Information (Please allow 30 days advance notice)