Content Overview
The Hurt Feelings Report form serves as a unique tool for individuals seeking to document their emotional distress in a structured manner. Designed for use with law enforcement officers, this form requires physical submission to ensure that the concerns are acknowledged in a tangible way. It collects essential data, including the name, age, and sex of the individual reporting their hurt feelings, alongside details of the incident such as the time and location of the comments that caused distress. The form also prompts users to identify the person responsible for their feelings of hurt and encourages them to describe the nature of their emotional injury. With sections dedicated to assessing the severity of the impact—ranging from potential permanent damage to the need for a tissue—the form humorously addresses the underlying issue of emotional sensitivity. Furthermore, it allows individuals to articulate their reasons for filing the report, which can include a variety of personal grievances, from feeling thin-skinned to simply wanting sympathy. The concluding sections emphasize the department's commitment to addressing these feelings seriously, offering additional support options like hugs or comfort items, should they be required. Overall, the Hurt Feelings Report form blends humor with a genuine attempt to acknowledge and validate personal emotional experiences.
Key takeaways
Filling out the Hurt Feelings Report form is a process that requires careful attention to detail. Here are seven key takeaways to keep in mind:
- Physical Submission Required: This form must be handed directly to a Law Enforcement Officer. Ensure you have a plan for how and when to do this.
- Privacy Act Compliance: Understand that the information you provide is subject to the Privacy Act of 1974. Your data will be handled with care, but be aware of the voluntary nature of disclosure.
- Complete All Sections: Fill out each part of the form thoroughly. Missing information may delay your report or result in misunderstandings.
- Document Your Feelings: Clearly describe how your feelings were hurt. Use the narrative section to express your thoughts and emotions, even if it feels trivial.
- Indicate Any Witnesses: If someone was sympathetic to your situation, include their name. This can help validate your experience.
- Be Honest About Your Feelings: Circle all applicable injuries. Whether you feel slighted or genuinely hurt, accurately representing your feelings is crucial.
- Signature Matters: Your signature is important. It indicates that you stand by your report, so ensure you are confident in what you are submitting.
By keeping these takeaways in mind, you can navigate the process more effectively and ensure your concerns are heard. Remember, the goal is to communicate your feelings clearly and seek the support you need.
Guide to Writing Hurt Feelings Report
After completing the Hurt Feelings Report form, it is essential to submit it to a Law Enforcement Officer. This ensures that your report is officially recognized and processed. Follow these steps to fill out the form correctly.
- Provide your personal information: In Part I, fill in your name (last, first, middle initial), age, sex, the date of the report, the type of whine used, and the name of the person filling out the form.
- Detail the incident: Move to Part II and record the date and time when your feelings were hurt. Specify the location of the hurtful comments and note if anyone was sympathetic to you, including any paid witnesses. Include the name of the person who hurt your feelings and describe how long you felt the need to whine about it. Finally, indicate which feelings were hurt.
- Assess the injury: In Part III, circle the ear into which the hurtful words were spoken (left, right, or both). Indicate whether there is permanent feeling damage and if you required a tissue for tears. Also, state if this incident resulted in a traumatic brain injury.
- State your reasons: In Part IV, mark all reasons that apply to why you are filing this report. This could include feeling thin-skinned or requiring a tissue.
- Write a narrative: Use your own words to describe how your feelings were hurt. This is your chance to express your emotions.
- Authenticate your report: In Part V, print your name and provide your signature. Then, print your name again as the whiner and sign it once more.
Once the form is filled out, ensure it is handed directly to a Law Enforcement Officer for processing. They will guide you through the next steps, ensuring your report is taken seriously.
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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? |
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LEFT |
RIGHT |
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BOTH |
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YES |
NO |
MAYBE |
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3. DID YOU REQUIRE A "TISSUE" FOR TEARS? |
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4. HAS THIS RESULTED IN A TRAUMATIC BRAIN INJURY? |
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YES |
NO |
MULTIPLE |
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YES |
NO |
MAYBE |
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PART IV - REASON FOR |
FILING THIS REPORT |
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(Mark all that apply) |
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I am thin skinned |
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The Dept needs to fix my problems |
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Two beers is not enough |
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I am a wimp |
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My feelings are easily hurt |
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My hands should be in my pockets |
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I have woman / |
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I didn't sign up for this |
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I was not offered a tissue |
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I am a crybaby |
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I was told that I am not a hero |
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Someone requested a tissue |
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I want my mommy |
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The weather is too cold |
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All of the above and more |
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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.
Documents used along the form
When dealing with emotional distress or interpersonal conflicts, various forms and documents may complement the Hurt Feelings Report form. These documents serve different purposes, ranging from formal complaints to informal resolutions. Below is a list of commonly used forms that individuals might find helpful in such situations.
- Incident Report Form: This document allows individuals to provide a detailed account of an event that caused distress. It typically includes sections for describing the incident, witnesses, and any actions taken afterward.
- Conflict Resolution Agreement: This form is used to outline the terms of an agreement between parties involved in a conflict. It helps establish mutual understanding and expectations for resolving the issue amicably.
- Personal Reflection Journal: A personal journal can be beneficial for individuals to express their feelings and thoughts about a situation. This document is more informal and serves as a tool for self-reflection and emotional processing.
- Support Request Form: This form is utilized to formally request support from a supervisor or HR department. It may include details about the situation and the type of support being sought.
- Dog Bill of Sale: The California Dog Bill of Sale serves as a formal record during the ownership transfer of a dog, ensuring both parties' rights are protected. For more details, visit https://toptemplates.info/bill-of-sale/dog-bill-of-sale/california-dog-bill-of-sale/.
- Witness Statement Form: When there are witnesses to an incident, this form allows them to provide their account. It can help corroborate the details of the Hurt Feelings Report.
- Apology Letter Template: This template assists individuals in crafting a sincere apology. It guides users through the process of acknowledging their actions and expressing regret, which can help mend relationships.
- Mediation Request Form: This document is used to initiate a mediation process between conflicting parties. It outlines the issues at hand and seeks a neutral third party to facilitate discussion and resolution.
Utilizing these forms can enhance communication and understanding among individuals experiencing hurt feelings or conflict. Each document serves a unique purpose, contributing to a comprehensive approach in addressing emotional distress and fostering resolution.