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Structure

The Hurt Feelings Report form serves as a unique tool designed to document emotional distress and seek sympathy from law enforcement officers. It requires individuals to submit their information, including their name, age, and the details of the incident that caused their feelings to be hurt. The form is structured in multiple parts, each addressing specific aspects of the emotional experience. Individuals are prompted to describe the incident, including the date, time, and location, as well as whether anyone showed sympathy during the event. Additionally, the form includes sections that inquire about the nature of the emotional injury and any physical manifestations, such as whether a tissue was needed for tears. It also offers a lighthearted approach to the reasons for filing, allowing individuals to check off various personal sentiments that contributed to their emotional state. The report concludes with an authentication section, where individuals can sign their names, reinforcing the personal nature of the submission. The overall tone of the form reflects a blend of seriousness and humor, acknowledging the complexities of emotional responses while also encouraging individuals to express their feelings in a structured manner.

Common mistakes

  1. Incomplete Information: Many people forget to fill in all required fields. Leaving out essential details like the whiner's name or the date of the incident can lead to delays in processing the report.

  2. Vague Descriptions: When describing the incident, some individuals provide unclear or overly general explanations. Specifics about what was said or done can help convey the hurt feelings more effectively.

  3. Not Following Submission Guidelines: Some fail to physically hand the form to a law enforcement officer as required. Instead, they might mail it or submit it online, which can result in the report not being accepted.

  4. Ignoring the Narrative Section: The narrative part is crucial for expressing feelings. Skipping this section or writing too little can diminish the impact of the report and leave out important context.

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.

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Documents used along the form

The Hurt Feelings Report form is often accompanied by other documents that help address emotional distress or grievances. These forms can provide additional context, facilitate communication, or document incidents more comprehensively. Here’s a list of related forms and documents that may be used alongside the Hurt Feelings Report.

  • Incident Report Form: This document details the specific events leading to the hurt feelings. It captures the timeline, location, and any witnesses present during the incident.
  • Witness Statement Form: Individuals who witnessed the incident can fill out this form. It serves as a record of their observations and can lend credibility to the whiner's claims.
  • Emotional Support Request Form: This form allows individuals to formally request emotional support services, such as counseling or therapy, from the appropriate department.
  • Grievance Form: Used for filing a formal complaint against a person or organization, this document outlines the nature of the grievance and the desired resolution.
  • Sympathy Card Log: This log tracks any sympathy cards or notes received in response to the Hurt Feelings Report. It can serve as a record of emotional support provided.
  • Follow-Up Report: This document is completed after a period of time to assess how the situation has progressed. It may include updates on emotional well-being and any further incidents.
  • Counseling Session Record: This form documents any counseling sessions attended by the whiner. It includes notes on discussions and recommendations made by the counselor.
  • Support Group Registration Form: Individuals can use this form to join support groups aimed at helping people cope with hurt feelings and emotional distress.
  • Power of Attorney Form: A legal document that grants one person the authority to act on behalf of another. It is essential for managing financial, legal, or health matters, particularly in cases where the individual is unable to take action themselves, and you can open the pdf for more details.
  • Feedback Form: After the issue has been addressed, this form gathers feedback on the process and the effectiveness of the support received.

These forms and documents can enhance the process of addressing hurt feelings, ensuring that individuals feel heard and supported. They serve various purposes, from documenting incidents to facilitating emotional healing.

Similar forms

The "Hurt Feelings Report" form shares similarities with the "Incident Report" used in various organizations, including schools and workplaces. Both documents serve to formally record an event that caused distress or discomfort. An Incident Report typically includes details about what happened, when it occurred, and who was involved. This allows for a structured approach to addressing grievances and helps ensure that all parties are heard. While the tone of the Hurt Feelings Report may be more lighthearted, the underlying purpose of documenting an incident remains consistent.

Another document that aligns with the Hurt Feelings Report is the "Grievance Form" often utilized in employment settings. Employees can use this form to express concerns about workplace issues, such as harassment or unfair treatment. Like the Hurt Feelings Report, a Grievance Form allows individuals to articulate their feelings and experiences, facilitating a process for resolution. Both forms aim to provide a safe space for individuals to voice their concerns, although the Grievance Form is typically more formal and serious in tone.

The Tennessee Homeschool Letter of Intent is a vital form that parents or guardians must complete to legally notify the local school district of their choice to homeschool their child. This process is essential not only for adhering to state regulations but also for protecting the educational rights of families. For those navigating homeschooling in Tennessee, it's important to familiarize themselves with the requirements associated with this document, such as the Homeschool Letter of Intent, to ensure a smooth transition to home-based education.

The "Customer Complaint Form" is also comparable to the Hurt Feelings Report. Businesses often use this document to gather feedback from customers who feel dissatisfied with a product or service. Similar to the Hurt Feelings Report, it allows individuals to share their negative experiences and seek acknowledgment or resolution. Both forms aim to foster communication and understanding between parties, even if the contexts differ significantly.

Additionally, the "Feedback Form" used in educational settings bears resemblance to the Hurt Feelings Report. Students or parents can use this form to express concerns about a class or teacher. The process encourages open dialogue and aims to improve the educational experience. While the Feedback Form focuses on constructive criticism, both documents highlight the importance of addressing feelings and experiences in a structured manner.

The "Personal Reflection Journal" is another document that shares common ground with the Hurt Feelings Report. Individuals often use journals to process their emotions and experiences. While the journal is more private and introspective, both it and the Hurt Feelings Report serve the purpose of helping individuals articulate their feelings and understand their emotional responses. Both encourage self-reflection and can lead to personal growth.

The "Mental Health Assessment Form" is similar in that it seeks to understand an individual's emotional state. Mental health professionals use this form to gather information about a person's feelings, thoughts, and behaviors. Like the Hurt Feelings Report, it aims to provide a comprehensive view of emotional distress, although it is typically used in a clinical context. Both documents highlight the importance of addressing emotional well-being.

The "Support Request Form" utilized by various organizations also mirrors the Hurt Feelings Report. Individuals may fill out this form to request assistance or resources for emotional or psychological support. Both forms emphasize the need for support and understanding, albeit in different contexts. The Support Request Form is often more focused on obtaining help, while the Hurt Feelings Report emphasizes the act of expressing hurt feelings.

The "Apology Letter Template" can be seen as similar to the Hurt Feelings Report in that both involve communication regarding emotional distress. An apology letter allows individuals to express regret and acknowledge the impact of their actions on others. Both documents facilitate a dialogue about feelings and aim to mend relationships, though the contexts in which they are used differ significantly.

Furthermore, the "Peer Review Form" used in academic and professional settings shares similarities with the Hurt Feelings Report. This form allows individuals to provide feedback on the work or behavior of others, often highlighting areas of concern. While the Peer Review Form is more focused on performance and improvement, both it and the Hurt Feelings Report serve as tools for expressing feelings and facilitating communication.

Lastly, the "Conflict Resolution Form" used in mediation processes resembles the Hurt Feelings Report. This document helps individuals outline their perspectives and feelings regarding a conflict. Both forms aim to foster understanding and resolution, encouraging individuals to share their experiences in a structured manner. The Conflict Resolution Form typically seeks to resolve disputes, while the Hurt Feelings Report focuses on expressing emotional hurt.

Dos and Don'ts

When filling out the Hurt Feelings Report form, it's important to approach the process thoughtfully. Here’s a list of things to do and avoid:

  • Do provide accurate information about yourself and the incident.
  • Do be honest about your feelings and how they were hurt.
  • Do include any witnesses who can support your claims.
  • Do take your time to express your feelings clearly in the narrative section.
  • Do ensure that you sign the form to authenticate your report.
  • Don't exaggerate your feelings or the situation; stick to the facts.
  • Don't use inappropriate language or insults in your report.
  • Don't forget to include the date and time of the incident.
  • Don't leave any sections blank; complete all required parts of the form.
  • Don't take the process lightly; your feelings deserve to be taken seriously.

Key takeaways

Filling out the Hurt Feelings Report form requires careful attention to detail. Here are some key takeaways to keep in mind:

  • Submission Process: The form must be physically handed to a Law Enforcement Officer for it to be considered valid.
  • Personal Information: Complete all required fields in Part I, including your name, age, and the nature of your complaint.
  • Incident Details: In Part II, provide specific information about the incident, including the date, time, and location of the hurtful comments.
  • Injury Assessment: Be honest when circling applicable injuries in Part III. This includes whether you experienced permanent damage or needed tissues for tears.
  • Narrative Section: Use Part IV to express how your feelings were hurt. This is your opportunity to share your experience in your own words.

Remember, while the form is meant for documenting feelings, it is essential to approach it thoughtfully and sincerely.

How to Use Hurt Feelings Report

Once you have the Hurt Feelings Report form in hand, it's important to fill it out accurately and completely. This will help ensure that your feelings are documented properly. Follow the steps below to complete the form.

  1. Write your name in the space provided for WHINER'S NAME (Last, First, MI).
  2. Indicate your age in the section labeled WHINER'S AGE.
  3. Mark your sex in the WHINER'S SEX section.
  4. Fill in the date of the report in the DATE OF REPORT field.
  5. Specify the type of whine you are using in the TYPE OF WHINE USED section.
  6. Enter the name of the person filling out the form in the NAME OF THE PERSON FILLING OUT THIS FORM field.
  7. In PART II - INCIDENT REPORT, provide the date when your feelings were hurt.
  8. Record the time of the hurtful comments in the TIME OF HURTFULNESS section.
  9. Indicate the location where the hurtful comments were made in the LOCATION OF HURTFUL COMMENTS field.
  10. State whether anyone was sympathetic to you, including paid witnesses, in the section WAS ANYONE SYMPATHETIC TO WHINER.
  11. Write the name of the person who hurt your feelings in the NAME OF PERSON WHO HURT YOUR PANSY ASS FEELINGS section.
  12. Indicate how long you whined in the HOW LONG DID YOU WHINE field.
  13. List which feelings were hurt in the WHICH FEELINGS WERE HURT section.
  14. In PART III - INJURY, circle the ear where the hurtful words were spoken.
  15. Indicate if there is permanent feeling damage by selecting YES, NO, or MAYBE.
  16. State whether you required a tissue for tears.
  17. Indicate if this resulted in a traumatic brain injury by selecting YES, NO, MULTIPLE, or MAYBE.
  18. In PART IV - REASON FOR FILING THIS REPORT, mark all reasons that apply to you.
  19. Provide a narrative explaining how your feelings were hurt in the section labeled NARRATIVE.
  20. In PART V - AUTHENTICATION, print your name in the PRINTED REPORTER NAME section.
  21. Sign the form in the SIGNATURE field.
  22. Print the whiner's name in the PRINTED WHINER NAME section.
  23. Finally, sign the form again in the SIGNATURE OF WHINER field.

Once you have completed the form, ensure that it is physically handed to a Law Enforcement Officer. They will take the necessary steps from there to address your concerns.