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Hurt Feelings Report PDF Template

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The Hurt Feelings Report form serves a unique purpose within the realm of emotional expression, particularly for those who feel wronged or slighted. Designed to be submitted directly to a law enforcement officer, this form allows individuals—often referred to as "whiners"—to document their emotional grievances in a structured way. It requires basic personal information, such as the whiner's name, age, and the specifics of the incident that caused their distress. The form delves into details like the date and location of the hurtful comments, as well as whether any sympathetic witnesses were present. Additionally, it includes a section to assess the severity of the emotional injury, asking questions that range from the physical impact of the hurtful words to whether a tissue was needed for tears. The report encourages individuals to articulate their feelings in a narrative format, inviting them to express their hurt in their own words. While the process may seem lighthearted, the form underscores the importance of addressing emotional well-being, offering a tongue-in-cheek approach to a serious subject. Ultimately, it aims to provide support for those who feel overlooked, ensuring that no one has to navigate their hurt feelings alone.

Common mistakes

  1. Incomplete Personal Information: Failing to provide all necessary details in the administrative data section can delay the processing of the report. Each field, including name, age, and type of whine, must be filled out completely.

  2. Vague Incident Description: When detailing the incident, being unclear or overly brief can lead to misunderstandings. It is important to clearly describe the date, time, and location of the hurtful comments.

  3. Neglecting to Include Witnesses: Omitting the names of any sympathetic individuals or witnesses can weaken the report. If someone was present during the incident, their testimony could provide additional context.

  4. Incorrectly Marking Injury Section: Failing to accurately circle the applicable injuries may lead to confusion. It is essential to carefully consider which feelings were actually hurt and whether any permanent damage occurred.

  5. Skipping the Narrative Section: Not taking the time to explain how feelings were hurt can result in a lack of understanding from those reviewing the report. This section allows for personal expression and clarity about the emotional impact of the incident.

Misconceptions

Here are five misconceptions about the Hurt Feelings Report form:

  • It is an official legal document. Many believe this form carries legal weight. In reality, it is not a formal legal document but rather a humorous way to express feelings.
  • It must be taken seriously by law enforcement. Some think that law enforcement officers are required to act on these reports. However, officers may treat these reports with varying degrees of seriousness based on their content.
  • Filing a report guarantees sympathy. Some people assume that submitting the form will automatically result in sympathy or support. The form does not guarantee a response or resolution to the feelings expressed.
  • It is only for serious emotional distress. Many believe the form is intended solely for significant emotional issues. In fact, it is designed for any expression of hurt feelings, regardless of severity.
  • Using the form is mandatory. Some think that everyone must use this form to report hurt feelings. In truth, it is completely voluntary and meant for those who choose to use it.

Hurt Feelings Report - Usage Guide

After completing the Hurt Feelings Report form, it needs to be submitted to a Law Enforcement Officer. Ensure all sections are filled out accurately to facilitate a proper review of your situation.

  1. Begin with Part I - Administrative Data.
  2. Enter the whiner's name (Last, First, MI).
  3. Provide the whiner's age.
  4. Indicate the whiner's sex.
  5. Fill in the date of the report.
  6. Specify the type of whine used.
  7. List the name of the person filling out the form.
  8. Move to Part II - Incident Report.
  9. Record the date feelings were hurt.
  10. Note the time of hurtfulness.
  11. Describe the location of the hurtful comments.
  12. Indicate if anyone was sympathetic (including paid witnesses).
  13. Provide the name of the person who hurt your feelings.
  14. State how long you whined.
  15. Identify which feelings were hurt.
  16. Proceed to Part III - Injury.
  17. Circle which ear the hurtful words were spoken into (Left, Right, Both).
  18. Indicate if there is permanent feeling damage (Yes, No, Maybe).
  19. Specify if you required a tissue for tears.
  20. State if this resulted in a traumatic brain injury (Yes, No, Multiple, Maybe).
  21. Continue to Part IV - Reason for Filing This Report.
  22. Mark all reasons that apply to your situation.
  23. In the Narrative section, describe how your feelings were hurt.
  24. Finally, complete Part V - Authentication.
  25. Print the reporter's name (if desired).
  26. Sign the form.
  27. Print the whiner's name.
  28. Sign on behalf of the whiner.

Dos and Don'ts

When filling out the Hurt Feelings Report form, keep these tips in mind:

  • Do fill out all sections completely to ensure your report is processed.
  • Don't use offensive language or make jokes that might not be taken seriously.
  • Do provide specific details about the incident to help clarify your feelings.
  • Don't leave out important information, like the names of those involved.
  • Do be honest about your feelings; this helps in understanding your situation.
  • Don't forget to sign the report; without a signature, it may not be valid.

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Key takeaways

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

  • Physical Submission Required: The form must be handed directly to a Law Enforcement Officer for it to be processed.
  • Confidentiality Considerations: While disclosure of information is voluntary, repeated submissions may lead to informal labeling.
  • Accurate Information: Fill out all sections completely, including personal details and specifics about the incident that caused hurt feelings.
  • Incident Details Matter: Provide thorough descriptions of the event, including the date, time, location, and any witnesses present.
  • Reason for Filing: Clearly indicate why you are submitting the report, as this helps in understanding the context of your feelings.
  • Emotional Support Options: If you need additional support, the department offers resources like "huggers" and comfort items upon request.