Registration This survey is to register for the Expungement Clinic to be held in Wilson County, Tennessee on November 18, 2024 from 10AM - 2PM.The following information we are asking for enables us to pull your court records in Wilson County and help you at the clinic. Question Title * 1. Name First Name Middle Name Last Name Question Title * 2. Aliases (Maiden Names, Nicknames, etc.) Question Title * 3. Date of Birth (Month/Day/Year) Date / Time Date Question Title * 4. Social Security Number Question Title * 5. Driver's License Number Question Title * 6. Race:You are NOT required to answer this information at this time. We only ask for this information because it helps us locate your records, and it must be filled out as the court has it in their records for all non-conviction expungement petitions we prepare for you. Question Title * 7. Sex:You are NOT required to answer this information at this time. We only ask for this information because it helps us locate your records, and it must be filled out as the court has it in their records for all non-conviction expungement petitions we prepare for you. Male Female Prefer Not to Answer Question Title * 8. Contact Information Email Address Phone Number * Question Title * 9. Contact Information Address Address 2 City/Town State/Province ZIP/Postal Code Please ReadThe following questions help us understand how we may be able to assist you at this Shelby County Expungement Clinic.Please note that this clinic is only for Shelby County records. We will not be able to assist with expungement petitions or review records outside of Shelby County, Tennessee at this time. Question Title * 10. I have records in Wilson County: Yes No Unsure Question Title * 11. I have records in other counties of Tennessee: Yes No Unsure Question Title * 12. I have records in other states or federal records: Yes No Unsure Question Title * 13. I will be available to come in-person to the Wilson County clinic on November 18, 2024 to review my records and discuss expungements with an attorney: Yes No Done