Free Hurt Feelings Report PDF Form Get Document

Free Hurt Feelings Report PDF Form

The Hurt Feelings Report form serves as a lighthearted tool for individuals to document their emotional distress and seek sympathy. Designed for those who feel their feelings have been unjustly hurt, this form allows users to express their grievances in a structured manner. If you find yourself in need of support, consider filling out the form by clicking the button below.

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Outline

The Hurt Feelings Report form serves as a unique tool for individuals seeking to document and express their emotional distress. Designed to be submitted directly to a law enforcement officer, this form collects essential information about the incident that caused the hurt feelings. It includes sections for personal data, such as the name and age of the person reporting their feelings, as well as details about the incident itself, like the date, time, and location of the hurtful comments. The form encourages individuals to reflect on their emotional response, asking questions about the nature of the comments and the impact on their well-being. Furthermore, it addresses the necessity of sympathy and support, indicating that the disclosure of information is voluntary but may lead to some humorous labels if excessive whining occurs. The structure of the form allows for both straightforward reporting and a narrative section where individuals can elaborate on their experiences. Ultimately, this form aims to provide a lighthearted yet serious avenue for individuals to express their feelings and seek the support they need.

Key takeaways

Here are some key takeaways about filling out and using the Hurt Feelings Report form:

  • Physical Submission Required: The completed form must be handed directly to a Law Enforcement Officer for it to be processed.
  • Personal Information Needed: Fill out your name, age, sex, and other relevant personal details in the administrative section.
  • Incident Details Matter: Clearly describe when and where your feelings were hurt, along with the name of the person involved.
  • Document Your Feelings: Indicate how long you felt hurt and which specific feelings were impacted.
  • Authenticity is Key: Sign the form to authenticate your report, even if it feels like a big step.

Form Preview Example

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.