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.