Hurt Feelings Complaint Form Template
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Hurt Feelings Complaint Form

Please fill out this form completely to submit your complaint.

Date

    Name

      Email

        Date of Incident

          Area/Location of Incident

            Nature of Complaint

              • Insensitive Remarks

              • Unfair Criticism

              • Lack of Acknowledgment

              Individual(s) Involved

                Details of the Incident

                Briefly describe what happened:

                  Preferred Resolution

                    Additional Comments

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