Background image: A Marvelish Life Background image: A Marvelish Life
Social Icons

FORM 42‑L (rev. ∞) — BUREAU OF EMOTIONAL CONTRABAND

2 min read
Image of: Amanda Růžičková Amanda Růžičková

Table of Contents

Author's note: If you're on mobile you probably want to flip to landscape instead of portrait...
───────────────────────────────────────────────────────────────────────────────────────────── FORM 42‑L (rev. ∞) — BUREAU OF EMOTIONAL CONTRABAND ───────────────────────────────────────────────────────────────────────────────────────────── 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] echorefrefrefnull │ │ 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 │ └───────────────────────────────────────────────────────────────────────────────┘ ───────────────────────────────────────────────────────────────────────────────────────────── INTERNAL USE ONLY — DO NOT WRITE BELOW THIS LINE ───────────────────────────────────────────────────────────────────────────────────────────── ┌───────────────────────────────────────────────────────────────────────────────┐ │ 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 │ └───────────────────────────────────────────────────────────────────────────────┘

Last Update: May 18, 2025

Author

Amanda Růžičková 53 Articles

Poet in Prague, Midwest-born, fluent in reinvention. Living with stage IV lung cancer and too many unread books. Writing with love and uncertainty—chasing meaning and the everyday beauty that survives

Subscribe to our Newsletter

Subscribe to our email newsletter and unlock access to members-only content and exclusive updates.

Comments