#71

Form 0919-A

(Rev. October 2012)

Department of Feelings
Internal Regulation Service


Application for Approval of Crush or Infatuation or Other Quick-Onset Feelings of Attraction


File this form with Internal Regulation Service


Section references are to the Internal Regulation Code unless otherwise noted.


Instructions for completing this form are available at http://www.feelings.irs.gov.



1a. Name of applicant. Address, City, State, Zip.

1b. Applicant’s telephone number.

1.c. Emotional Identification Number (EIN)

2. Type of Applicant:
◊ Hopeless Romantic
◊ Confirmed Bachelor/Bachelorette
◊ Skeptic

3a. Name of Object. (required) Address, City, Zip (if known)

3b. Object’s telephone number (if known)

3c. Objects’s EIN (if known)


4. Quick-onset feeling characteristics (mark all that apply)
◊ Giddy or Excited         ◊ Hopeful
◊ Curious                        ◊ Confused
◊ Bemused                     ◊ Nervous
◊ Other _______________________________

5. Interaction types completed or planned (mark all that apply)
◊ Phone call
◊ Text message
◊ Brief in person meeting
◊ Sustained in person meeting
◊ Extended in person meeting
◊ Letter
◊ Social Media or other messaging app
◊ Other _______________________________

6. Level of minute-to-minute distraction
◊ Mild
◊ Moderate
◊ Severe
◊ Extreme


Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete.

Signature ________________________

Date _____________________________


For Privacy Act and Heartbreak Reduction Act, see Form 09-19A Instructions

 




 

crush approved

Drawing by Yael Kisel

Advertisements

7 thoughts on “#71

      1. nice!
        Dude this is the first time I’ve seen that you replied to me. I didn’t get any notifications. Have you been replying to my other comments and I was ignorantly ignoring you??

What do you think?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s