Fill Your Hurt Feelings Report Template

Fill Your Hurt Feelings Report Template

The Hurt Feelings Report form serves as a tool for individuals seeking to document their emotional distress in a structured manner. Designed for submission to law enforcement officers, this form allows users to articulate their grievances and request sympathy. If you feel the need to express your hurt feelings, consider filling out the form by clicking the button below.

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The Hurt Feelings Report form serves as a unique tool for individuals who feel emotionally impacted by someone else's words or actions. This form is intended for those who want to express their hurt feelings and seek sympathy from others. To initiate the process, the form must be physically handed to a law enforcement officer. It collects essential information such as the name, age, and sex of the person reporting, along with details about the incident that caused the emotional distress. Specific sections require the individual to describe the nature of their feelings, the time and location of the incident, and whether anyone showed sympathy during the event. The form also includes a humorous take on the severity of the feelings hurt, asking if the individual experienced any permanent damage or required a tissue for tears. While the submission of this report is voluntary, it is accompanied by light-hearted warnings about potential labels for repeated submissions. Finally, the form concludes with an offer of support, including the possibility of dispatching a "hugger" or emergency services if necessary. Through this approach, the Hurt Feelings Report form aims to address emotional grievances in a manner that is both serious and tongue-in-cheek.

Documents used along the form

The Hurt Feelings Report form is often accompanied by other documents that help in addressing emotional distress or grievances. Here are five forms and documents that may be used alongside it:

  • Incident Report Form: This document provides a detailed account of the events leading to the hurt feelings. It captures specific information about what occurred, including dates, times, and locations, which can be essential for understanding the context of the complaint.
  • Mobile Home Bill of Sale Form: When transferring ownership of a mobile home, it's important to use the essential Mobile Home Bill of Sale documentation to ensure all legal requirements are met.
  • Witness Statement Form: If there were others present during the incident, this form allows them to share their perspective. Witness statements can lend credibility to the claims made in the Hurt Feelings Report and may help validate the whiner's experience.
  • Emotional Support Request Form: This form is used to formally request additional emotional support or resources. It may include options for counseling or access to support groups, ensuring that individuals receive the help they need to cope with their feelings.
  • Grievance Procedure Document: This outlines the steps one can take if they feel their concerns are not being addressed adequately. It serves as a guide for escalating the issue and provides information on how to seek further assistance.
  • Feedback Form: After the initial report and any follow-up support, this form allows individuals to provide feedback on the process. It helps the department improve its response to emotional distress and ensures that the needs of the community are met.

Using these forms in conjunction with the Hurt Feelings Report can help ensure that emotional grievances are taken seriously and addressed appropriately. Each document plays a role in creating a supportive environment for those who may be struggling with their feelings.

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HURT FEELINGS REPORT

To use this form, it must be physically placed in the hands of any Law Enforcement Officer

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:

S USC 301, Departmental Regulation, 10 USC 3013 and a log of other regulations too To assist whiners in documenting hurt feelings

Whiners should use this form to seek sympathy from someone who cares

Disclosure is voluntary, however, repeated whining may lead to your file being stamped "candy ass" or some other appropriate term

PART I - ADMINISTRATIVE DATA

A. WHINER'S NAME (Last, First, MI)

B. WHINER'S AGE

C. WHINER'S SEX

D. DATE OF REPORT

E. TYPE OF WHINE USED

F. NAME OF THE PERSON FILLING OUT THIS FORM

PART II - INCIDENT REPORT

A. DATE FEELINGS WERE HURT

B. TIME OF HURTFULNESS

C. LOCATION OF HURTFUL COMMENTS

D. WAS ANYONE SYMPATHETIC TO WHINER (Please include paid witnesses)

E. NAME OF PERSON WHO HURT YOUR PANSY ASS FEELINGS

F. HOW LONG DID YOU WHINE

G. WHICH FEELINGS WERE HURT

PART III - INJURY

(Circle all that apply)

1. WHICH EAR WERE THE HURTFULL WORDS SPOKEN INTO?

2. IS THERE PERMANENT FEELING DAMAGE?

 

LEFT

RIGHT

 

BOTH

 

YES

NO

MAYBE

3. DID YOU REQUIRE A "TISSUE" FOR TEARS?

 

4. HAS THIS RESULTED IN A TRAUMATIC BRAIN INJURY?

YES

NO

MULTIPLE

 

YES

NO

MAYBE

 

 

PART IV - REASON FOR

FILING THIS REPORT

 

 

 

 

 

(Mark all that apply)

 

 

 

I am thin skinned

 

 

The Dept needs to fix my problems

 

Two beers is not enough

 

 

I am a wimp

 

 

My feelings are easily hurt

 

My hands should be in my pockets

 

I have woman / man-like hormones

 

I didn't sign up for this

 

I was not offered a tissue

 

 

I am a crybaby

 

 

I was told that I am not a hero

 

Someone requested a tissue

 

 

I want my mommy

 

 

The weather is too cold

 

All of the above and more

 

NARRATIVE (Tell us in your own sissy words how your feelings were hurt, as if anyone cared)

PART V - AUTHENTICATION

A. PRINTED REPORTER NAME (if you wish to be labeled too)

B. SIGNATURE (are you sure about this?)

C. PRINTED WHINER NAME (you really are going out on a limb here) D. SIGNATURE OF WHINER (you have got to be shitting me!)

We, as the Dept, take hurt feelings seriously. If you don't have someone who can give you a hug and make things all better, please let us know and we will promptly dispatch a "hugger" to you ASAP. In the event a "hugger cannot be found, an EMS Team will be dispatched to soak your socks in coal oil to prevent ants from crawling up your leg and eating their way up your candy ass. If you are in need of supplemental support, upon written request, we will make every reasonable effort to prvide you with a "blankie", a "binky" and/or a bottle if you so desire.

Guidelines on How to Fill Out Hurt Feelings Report

Filling out the Hurt Feelings Report form requires attention to detail. Each section must be completed accurately to ensure the report is processed correctly. Follow these steps to fill out the form properly.

  1. PART I - ADMINISTRATIVE DATA
    • Write your last name, first name, and middle initial in the "WHINER'S NAME" section.
    • Indicate your age in the "WHINER'S AGE" field.
    • Check the box for your sex in the "WHINER'S SEX" section.
    • Fill in the date you are completing the report in the "DATE OF REPORT" field.
    • Specify the type of whine used in the "TYPE OF WHINE USED" section.
    • Write the name of the person filling out the form in the corresponding field.
  2. PART II - INCIDENT REPORT
    • Record the date your feelings were hurt in the "DATE FEELINGS WERE HURT" section.
    • Indicate the time when the hurtful comments were made in the "TIME OF HURTFULNESS" field.
    • Describe the location where the hurtful comments occurred in the "LOCATION OF HURTFUL COMMENTS" section.
    • State whether anyone was sympathetic to you, including paid witnesses, in the corresponding field.
    • Write the name of the person who hurt your feelings in the "NAME OF PERSON WHO HURT YOUR PANSY ASS FEELINGS" section.
    • Indicate how long you whined in the "HOW LONG DID YOU WHINE" field.
    • List which feelings were hurt in the "WHICH FEELINGS WERE HURT" section.
  3. PART III - INJURY
    • Circle the ear into which the hurtful words were spoken in the first question.
    • Indicate if there is permanent feeling damage by circling "YES," "NO," or "MAYBE."
    • Answer whether you required a tissue for tears.
    • State if this incident resulted in a traumatic brain injury by selecting "YES," "NO," "MULTIPLE," or "MAYBE."
  4. PART IV - REASON FOR FILING THIS REPORT
    • Mark all reasons that apply to you in the provided list.
  5. NARRATIVE
    • In your own words, explain how your feelings were hurt in the narrative section.
  6. PART V - AUTHENTICATION
    • Print your name in the "PRINTED REPORTER NAME" section, if desired.
    • Sign the form in the "SIGNATURE" field.
    • Print the whiner's name in the "PRINTED WHINER NAME" section.
    • Sign your name in the "SIGNATURE OF WHINER" field.

Once the form is completed, it must be physically handed to a law enforcement officer. Ensure all sections are filled out thoroughly to avoid delays in processing. If you need further assistance, don't hesitate to reach out for support.

Similar forms

The Hurt Feelings Report form bears similarities to a complaint form used in various organizations, including workplaces and educational institutions. Such forms allow individuals to formally document grievances regarding perceived slights or unfair treatment. Like the Hurt Feelings Report, these complaint forms often require personal information about the complainant, details of the incident, and a description of the perceived harm. The intent behind both types of documents is to provide a structured way for individuals to express their feelings and seek resolution, whether through mediation or other forms of support.

Another comparable document is the emotional distress claim form, commonly utilized in legal contexts. This form is designed for individuals who believe they have suffered emotional harm due to another party's actions. Similar to the Hurt Feelings Report, it requires the claimant to outline the specifics of the incident, the emotional impact, and any witnesses to the event. Both documents aim to provide a framework for individuals to articulate their feelings, although the emotional distress claim form often has more serious legal implications, potentially leading to compensation for the claimant.

When creating essential documents such as the Last Will and Testament, it is important to follow a structured approach to ensure clarity and legality; resources like legalpdf.org can provide valuable guidance to individuals drafting their wills, helping them navigate the complexities of asset distribution and final wishes effectively.

Additionally, the grievance form used in educational settings shares a resemblance with the Hurt Feelings Report. Students may use grievance forms to report instances of bullying, discrimination, or other negative experiences. Both documents emphasize the importance of recognizing and validating feelings, providing a formal mechanism for individuals to voice their concerns. The grievance form typically includes sections for the details of the incident and any actions taken, paralleling the structure found in the Hurt Feelings Report.

The incident report form, often used by law enforcement and organizations, is another document that aligns with the Hurt Feelings Report. This form captures details about specific events, including who was involved and what occurred. While incident reports usually focus on factual accounts and evidence, they share the underlying purpose of documenting experiences. Both forms aim to create a record that can be referenced later, whether for accountability or for understanding the emotional impact of an event.

Finally, the customer feedback form used by businesses can be likened to the Hurt Feelings Report. Customers often fill out these forms to express dissatisfaction or disappointment with a service or product. Like the Hurt Feelings Report, the customer feedback form seeks to gather information about the experience and the emotional response of the individual. Both documents serve as tools for organizations to understand the concerns of individuals, allowing for potential improvements and fostering a sense of care and responsiveness.

Consider Common Documents

Misconceptions

Misconceptions about the Hurt Feelings Report form can lead to misunderstandings about its purpose and use. Here are nine common misconceptions, along with explanations to clarify each one.

  1. The form is meant to be taken seriously. Many believe the form is a legitimate tool for addressing emotional distress. However, it is designed in a satirical manner, often mocking the concept of hurt feelings.
  2. It is intended for legal documentation. Some think that this form serves as a legal document. In reality, it does not hold any legal weight and is not intended for official use.
  3. Submission guarantees a response from law enforcement. Individuals may assume that filling out the form will prompt a law enforcement response. This is not the case; the form is more of a joke than a serious complaint mechanism.
  4. It is confidential and private. Users might believe their submissions will be kept confidential. However, the form’s humorous nature suggests that it is not treated with the seriousness of a confidential report.
  5. Using the form can lead to real consequences for the person who hurt your feelings. Some may think that filing this report will result in disciplinary action against the offending party. This is not true; the form does not initiate any formal investigation or action.
  6. It is a legitimate method for seeking help. People might think this form is a valid way to seek emotional support. Instead, it is a parody that trivializes genuine emotional distress.
  7. All law enforcement officers are familiar with the form. There is an assumption that all officers will understand and recognize the form. However, due to its satirical nature, many may not take it seriously or even be aware of it.
  8. It can be used for any type of complaint. Some individuals may believe they can use the form for any grievance. The form is specifically tailored to mock complaints about hurt feelings, not for serious issues.
  9. Filing the report will lead to personal growth or resolution. Many might think that completing the form will help them process their feelings. In truth, it is unlikely to provide any meaningful resolution or personal development.

Understanding these misconceptions can help clarify the true nature of the Hurt Feelings Report form and its intended purpose. It is essential to approach such materials with a critical eye and recognize the underlying humor.

File Features

Fact Name Description
Purpose This form assists individuals in documenting instances of hurt feelings.
Submission Requirement The form must be physically submitted to a law enforcement officer.
Privacy Act Compliance Data collection adheres to the Privacy Act of 1974, ensuring personal information is handled appropriately.
Voluntary Disclosure Disclosure of information is voluntary, but repeated submissions may result in informal labeling.
Incident Reporting Includes sections for detailed reporting on the incident, such as date, time, and nature of the hurtful comments.