Fill a Valid Hurt Feelings Report Template Open Editor Here

Fill a Valid Hurt Feelings Report Template

The Hurt Feelings Report form is designed to help individuals document experiences of emotional distress. It serves as a tool for those who feel their feelings have been hurt to seek sympathy and support from others. If you find yourself in need of assistance, please consider filling out the form by clicking the button below.

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Form Overview

Fact Name Description
Purpose This form is designed to help individuals document instances of hurt feelings.
Submission Requirement The completed form must be physically handed to a Law Enforcement Officer.
Privacy Act Compliance Data collection follows the Privacy Act of 1974, specifically 5 USC 301.
Voluntary Disclosure Filling out the form is voluntary, but excessive complaints may result in a humorous label.
Incident Details The form requires specific details about the incident, including time, location, and individuals involved.
Support Options The department offers supplemental support, including "huggers" and comfort items, upon request.

Common Questions

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

    The Hurt Feelings Report form is designed to help individuals document their feelings when they feel hurt or offended. It allows them to express their concerns and seek sympathy from others. Although the form may seem humorous, it serves as a tool for individuals to articulate their emotions.

  2. Who should use this form?

    This form is intended for anyone who feels their feelings have been hurt and wishes to document the incident. Whether you are a member of the community or someone who interacts with law enforcement, you can fill out this form to express your feelings.

  3. How do I submit the Hurt Feelings Report?

    To submit the form, you must physically hand it to a law enforcement officer. This ensures that your report is received and acknowledged appropriately. Make sure to fill out all required sections to facilitate the process.

  4. Is it mandatory to disclose my personal information?

    While you are required to provide certain personal information, disclosure is ultimately voluntary. However, keep in mind that repeated submissions may lead to a less serious approach to your concerns.

  5. What happens after I submit the report?

    Once submitted, your report will be reviewed by the appropriate personnel. They will take your feelings seriously and may offer support or resources to help you cope with your situation. If needed, a "hugger" or EMS team may be dispatched to provide immediate assistance.

  6. Can I request additional support after filing the report?

    Yes, you can request supplemental support in writing. The department aims to provide reasonable accommodations, such as a "blankie," "binky," or even a bottle, to help soothe your feelings.

  7. What if I feel my report is not taken seriously?

    If you feel your concerns are not being addressed, you are encouraged to reach out again. The department is committed to ensuring that all individuals feel heard and supported. Don't hesitate to voice your feelings and seek the help you need.

Documents used along the form

The Hurt Feelings Report form serves a unique purpose in documenting emotional distress. However, it often accompanies other forms and documents that help clarify the situation or provide additional context. Below is a list of related documents that may be useful in conjunction with the Hurt Feelings Report.

  • Incident Report Form: This form details the specific events leading up to the emotional distress. It includes information about the time, place, and people involved in the incident, providing a clearer picture of what transpired.
  • Witness Statement Form: This document collects statements from individuals who witnessed the incident. Their accounts can lend credibility to the Hurt Feelings Report and support the whiner's claims.
  • Emotional Support Request Form: If someone feels they need additional help, this form can be used to request emotional support services. It outlines the type of support needed and the reasons for the request.
  • Counseling Referral Form: For those who wish to seek professional help, this form connects them with counseling services. It may include information about the type of counseling desired and any specific concerns.
  • Grievance Form: This document allows individuals to formally express their dissatisfaction with the handling of their situation. It can serve as a more official way to address ongoing concerns.
  • Bill of Sale Form: To ensure a smooth transition of ownership during a sale, it's important to complete the necessary paperwork. Specifically, the PDF Templates provide a reliable format for documenting the transfer of personal property, which is vital for both buyers and sellers.
  • Follow-Up Report: After a period of time, this report is used to assess the impact of the incident on the whiner's emotional state. It helps track progress and any further actions that may be needed.
  • Feedback Form: This form collects feedback on the process of filing the Hurt Feelings Report. It allows individuals to share their experiences and suggest improvements for future cases.

Each of these documents plays a role in ensuring that emotional distress is taken seriously and that individuals have avenues for support. By utilizing these forms, whiners can articulate their feelings and seek the assistance they need.

Preview - Hurt Feelings Report Form

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.

Common mistakes

Filling out the Hurt Feelings Report form can be a straightforward process, but there are common mistakes that can lead to delays or complications. One significant error is failing to provide complete personal information in Part I. All fields, including the whiner's name, age, and sex, must be filled out accurately. Incomplete information may result in the report being deemed invalid.

Another mistake often made is in Part II, the Incident Report section. Many individuals forget to specify the date and time when their feelings were hurt. This information is crucial for context. Additionally, not including the name of the person who caused the hurt can hinder the processing of the report.

In Part III, some may neglect to circle all applicable injuries. This section is designed to capture the extent of the emotional damage. Omitting any injuries can lead to an inaccurate assessment of the situation, potentially affecting the support you may receive.

People also tend to overlook the narrative section in Part IV. This is your chance to express your feelings and describe the incident in detail. Skipping this part or providing vague responses can diminish the impact of your report. It's essential to articulate your experience clearly.

Finally, authentication is vital. In Part V, failing to sign the report or provide printed names can invalidate your submission. This step confirms that you stand by your report and are seeking assistance. Ensuring all parts are filled out completely and accurately will help in addressing your concerns effectively.

Similar forms

The Hurt Feelings Report form shares similarities with various other documents that aim to address emotional distress or grievances. Below is a list of nine such documents, each accompanied by a brief explanation of how they relate to the Hurt Feelings Report form.

  • Incident Report Form: This document is used to formally report incidents that cause distress, much like the Hurt Feelings Report, which seeks to document emotional hurt.
  • Grievance Form: Employees use this form to express dissatisfaction with workplace conditions or treatment. Similar to the Hurt Feelings Report, it allows individuals to voice their concerns.
  • Emotional Support Request Form: This form is designed for individuals seeking emotional support services. It parallels the Hurt Feelings Report by focusing on the need for sympathy and assistance.
  • Complaint Form: A standard document for filing complaints about various issues. Like the Hurt Feelings Report, it serves as a means to communicate feelings of being wronged.
  • Request for Counseling Services: Individuals may fill out this form to seek professional help for emotional issues. It shares the intent of addressing feelings of hurt or distress.
  • Feedback Form: This document allows individuals to provide feedback on experiences, similar to how the Hurt Feelings Report collects personal accounts of emotional pain.
  • Apology Letter Template: Used to express regret and seek forgiveness, this template aligns with the intent of the Hurt Feelings Report, which often seeks acknowledgment of hurt feelings.
  • Do Not Resuscitate Order Form: This important legal document allows patients to specify their wishes regarding resuscitation efforts in emergencies, similar to how the Hurt Feelings Report gives individuals a voice in expressing their needs. For more information, you can visit floridaformspdf.com/printable-do-not-resuscitate-order-form/.
  • Support Group Registration Form: This form registers individuals for support groups focused on emotional issues. It reflects the same need for community and understanding found in the Hurt Feelings Report.
  • Wellness Check Request: This document is used to request a wellness check for someone who may be struggling emotionally. It is similar in its focus on ensuring emotional well-being, akin to the purpose of the Hurt Feelings Report.

Each of these documents serves a purpose in addressing emotional concerns, providing a structured way for individuals to express their feelings and seek support. They emphasize the importance of recognizing and validating emotional experiences.

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