Table of Contents
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FORM 42‑L (rev. ∞) — BUREAU OF EMOTIONAL CONTRABAND
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SECTION I — IDENTIFICATION
┌───────────────────────────────────────────────────────────────────────────────┐
│ 1. Applicant Name (print clearly, in fragments) │
│ silence bruised by whispers │
│ that crawl beneath skin │
│ echo split by fractures │
│ murmurs carved in bone │
├───────────────────────────────────────────────────────────────────────────────┤
│ 2. Date of Application (temporal coordinates of psychic rupture) │
│ when your breath turned shadow │
│ and your pulse echoed backwards │
│ in the rising flood of midnight │
│ syllables erased from clocks │
├───────────────────────────────────────────────────────────────────────────────┤
│ 3. Attachment Designation (metaphorical taxonomy) │
│ asylum sought from memory │
│ (pending refusal), housed │
│ in chambers webbed by grief │
├───────────────────────────────────────────────────────────────────────────────┤
│ 4. Catalog Reference Number (office use, encrypted) │
│ ⍓ [REDACTED]⧃ echo→ref→ref→ref→null │
│ CODEX: breath.key//FAIL—checksum bled through sigil border │
│ static.murmur.loop(7) / recovered fragment in rib-cipher │
│ ✶ entropy drift exceeded archival threshold │
│ ∴ continuity breach logged at midnight echo: status = UNFIXABLE │
│ → refer to Dept. of Discontinuous Retention │
└───────────────────────────────────────────────────────────────────────────────┘
SECTION II — ORIGIN & CONDITION
┌───────────────────────────────────────────────────────────────────────────────┐
│ 5. Origin of Attachment (fill in appropriate moon phase) │
│ 🌕 seeped from marrow 🌒 inherited echoes │
│ 🌗 misrouted prayers 🌘 corporate hauntings │
│ 🌓 empathy contraband 🌑 accidental invocation │
│ 🌖 misplaced breaths 🌔 archived dreams unsealed │
├───────────────────────────────────────────────────────────────────────────────┤
│ 6. First Symptom Noted (describe poetically, minimum couplet) │
│ a cough shaped like doorways │
│ footsteps in empty throats │
│ whispers mistaken for wings │
│ echoes bound in ribbon veins │
│ inhalations stuttering, unsure │
│ mouth leaking quiet storms │
├───────────────────────────────────────────────────────────────────────────────┤
│ 7. Current State of Matter (precise imagery required) │
│ fog braided with veins │
│ glass splintering softly │
│ bone humming forgotten songs │
│ vapor fingers threading loss │
│ lungs rusting into ghost breath │
│ pupil pools awash in haze │
└───────────────────────────────────────────────────────────────────────────────┘
SECTION III — DECLARATION OF INTENT
┌───────────────────────────────────────────────────────────────────────────────┐
│ 8. Intended Disposition (select all that apply using the least appropriate │
│ symbol available) │
│ ☒ archival forgetting 🗷 ceremonial erasure │
│ 🗹 melancholy curation ☑ indefinite quarantine │
│ 🞕 exhibit of invisible scars 🗳 surrendering of breath │
│ 🗸 sealing doors within doors │
├───────────────────────────────────────────────────────────────────────────────┤
│ Clerk's Note: Symbol misuse has been noted. Filing continues under protest. │
├───────────────────────────────────────────────────────────────────────────────┤
│ 9. If archival, specify shelf label (provide elegiac fragment) │
│ heartbeat archives, sealed │
│ labeled only by absences │
│ language no tongue can hold │
│ boxes brimming empty │
│ code that grief abandoned │
│ archive locked in silent pulse │
└───────────────────────────────────────────────────────────────────────────────┘
SECTION IV — ATTACHMENT NARRATIVE (attach whispers if audible)
┌───────────────────────────────────────────────────────────────────────────────┐
│ 10. Narrative (minimum stanza of six lines) │
│ it arrived clothed in breath, │
│ trailing threads of unfinished speech. │
│ offered tea brewed from midnight tears, │
│ it drank until moonlight leaked from fingers. │
│ now it nests behind my ribs, │
│ murmuring in languages lost to grief, │
│ a tenant weaving sadness into tapestry, │
│ stitching marrow into shadowed lace. │
│ i tried eviction through whispered pleas, │
│ writing petitions onto dissolving paper. │
│ but its roots grew deeper— │
│ memory flowering darkly, feeding from dreams. │
└───────────────────────────────────────────────────────────────────────────────┘
SECTION V — APPLICANT OATH
┌───────────────────────────────────────────────────────────────────────────────┐
│ I certify the attachment described is irrevocably true, │
│ unresolved, leaking steadily, and bound in shadow. │
│ Falsification invites recursive penalties without mercy or appeal. │
│ │
│ Signature (trace outline): ink stained by trembling hands │
│ Date (rhythm of loss): the hour clocks refuse to keep │
│ Witness (metaphysical identity): shadow casting fingerprints │
└───────────────────────────────────────────────────────────────────────────────┘
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INTERNAL USE ONLY — DO NOT WRITE BELOW THIS LINE
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┌───────────────────────────────────────────────────────────────────────────────┐
│ Intake Clerk Initials: • ≋ • │
│ Processing Queue: Σ ⚙ ∆ ‡ ◌ │
│ Emotional Audit Status: unresolved recursion, referral mandatory │
│ Archive Eligibility: ☑ sentenced to murmured shelving │
│ ☐ set aside for shadow laundering │
│ │
│ Rejection Justification (if applicable): │
│ echoes documented insufficiently faint │
│ applicant breathes too loudly in ink │
│ memory refuses relocation, clings— │
│ haunting certified permanent │
│ │
│ Internal Error Log (note irregularities): │
│ form refused containment thrice, │
│ leaking whispers into office ventilation │
│ archive shelves rearranged autonomously at night │
│ stamps weeping ink, seals fogging silently │
│ │
│ Recommended Action: │
│ ☑ transfer to Department of Forgotten Speech │
│ ☐ consign to Office of Shattered Mirrors │
│ ☑ forward to Committee on Recursive Appeals │
│ │
│ Final Status: 𓋴𓎛𓄿 𓅓 𓂋𓋴𓅱 — awaiting storm │
│ clouds building in heartbeat rhythm │
└───────────────────────────────────────────────────────────────────────────────┘
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