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Content Overview

The Hurt Feelings Report form serves as a unique tool designed to help individuals express and document their emotional distress in a structured manner. This form is intended for use by those who feel their feelings have been hurt, allowing them to seek sympathy from law enforcement officers or others who may be able to assist. The form requires basic personal information, such as the name, age, and sex of the individual filing the report, as well as details about the incident that caused the hurt feelings. Key sections include the date and time of the incident, the location of the hurtful comments, and whether any sympathetic witnesses were present. Additionally, the form prompts users to specify the nature of their emotional injury, including whether they experienced permanent damage or required a tissue for tears. A narrative section encourages individuals to elaborate on their experience in their own words, while the authentication portion requires signatures to validate the report. The underlying intention of this form is to provide a lighthearted yet serious means for individuals to articulate their feelings, highlighting the importance of emotional well-being and support in our communities.

Similar forms

  • Incident Report Form: Similar to the Hurt Feelings Report, this form documents specific incidents, detailing who was involved and what occurred. Both forms aim to record personal experiences and feelings surrounding an event.
  • Complaint Form: Like the Hurt Feelings Report, a complaint form allows individuals to express dissatisfaction or grievances. Both documents serve as a means for individuals to communicate their issues to authorities or relevant parties.
  • Grievance Form: This document is used to formally raise concerns within an organization. Similar to the Hurt Feelings Report, it provides a structured way for individuals to articulate their feelings and seek resolution.
  • Incorporation Form: The Articles of Incorporation is essential for establishing a corporation in South Carolina, detailing its fundamental attributes and legal status.
  • Feedback Form: A feedback form gathers opinions or reactions about a service or experience. Like the Hurt Feelings Report, it encourages individuals to share their feelings, though typically in a more constructive manner.
  • Emotional Support Request: This form allows individuals to seek assistance for emotional distress. It parallels the Hurt Feelings Report in that both seek to address personal feelings and provide support.
  • Witness Statement: A witness statement collects observations from individuals who witnessed an event. Similar to the Hurt Feelings Report, it aims to document feelings and perspectives related to a specific incident.

Document Specifics

Fact Name Description
Purpose of the Form This form is designed to help individuals document instances of hurt feelings and seek sympathy from others.
Governing Laws The form is governed by the Privacy Act of 1974 and various regulations including 5 USC 301 and 10 USC 3013.
Submission Requirement To be valid, the form must be physically submitted to any Law Enforcement Officer.
Voluntary Disclosure While disclosure is voluntary, repeated submissions may result in humorous labeling of the file, such as "candy ass."

Things You Should Know About This Form

  1. What is the purpose of the Hurt Feelings Report form?

    The Hurt Feelings Report form is designed to help individuals document their feelings of distress. It allows people to express their hurt and seek sympathy from someone who cares. While the process may seem light-hearted, it aims to provide a platform for individuals to voice their feelings.

  2. Who can fill out this form?

    Anyone who feels their feelings have been hurt can fill out this form. It is important to provide accurate information about the incident and your feelings. This helps ensure that your concerns are taken seriously.

  3. What information do I need to provide?

    The form requires basic information, such as:

    • Your name and age
    • The date and time your feelings were hurt
    • The location of the incident
    • The name of the person who hurt your feelings
    • A description of how long you felt upset

    This information helps document the incident clearly.

  4. Is it mandatory to submit this report?

    Submitting the report is voluntary. However, repeated expressions of hurt feelings without documentation may lead to a less favorable perception of your concerns. It is advisable to use the form if you genuinely feel hurt.

  5. What happens after I submit the form?

    Once the form is submitted to a law enforcement officer, it will be reviewed. The department takes hurt feelings seriously and will respond appropriately. If needed, support resources, including emotional support, may be provided.

  6. Can I request additional support?

    Yes, if you feel you need extra support, you can request it in writing. The department will make every reasonable effort to provide you with items like a "blankie," a "binky," or even a bottle if that would help you feel better.

Documents used along the form

The Hurt Feelings Report form serves a unique purpose in documenting emotional distress. However, several other forms and documents may be useful in conjunction with it. These documents can help clarify situations, provide additional context, or support claims related to emotional well-being. Below is a list of related forms that individuals might consider using.

  • Incident Report Form: This form captures detailed accounts of specific events that led to emotional distress. It includes information about the date, time, location, and individuals involved in the incident.
  • Witness Statement Form: This document allows witnesses to provide their perspective on an event. It is particularly useful if someone else observed the incident and can corroborate the feelings expressed in the Hurt Feelings Report.
  • Recommendation Letter Form: This essential document allows for the collection of insightful feedback on an individual’s credentials and character from a trustworthy source. It's particularly useful for those looking to enhance their applications for jobs or educational opportunities. For more information, visit https://legalpdfdocs.com/.
  • Emotional Support Request Form: Individuals can use this form to formally request emotional support services. It may include options for counseling or therapy sessions to address the feelings documented in the Hurt Feelings Report.
  • Grievance Form: This form is used to lodge a formal complaint about a situation or individual that caused emotional harm. It provides a structured way to articulate grievances and seek resolution.
  • Self-Reflection Worksheet: This document encourages individuals to reflect on their feelings and reactions. It can help clarify the emotional impact of an incident and promote personal growth.
  • Support Group Registration Form: If someone seeks community support, this form allows them to join a group focused on sharing experiences and coping strategies related to emotional distress.

Using these forms alongside the Hurt Feelings Report can create a more comprehensive approach to addressing emotional challenges. They provide avenues for support, documentation, and reflection, ultimately fostering a healthier emotional environment.

Hurt Feelings Report Preview

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.