Pre-reporting of assault VSS

Fill out this form to be contacted by a VSS representative.

    1 - I am a victim

    My identity:

    You may provide your identity if you wish. Otherwise, leave the field below blank. Please note that if you remain anonymous, no action can be taken. However, your report will be recorded.

    In your opinion, is the violence still continuing?

    Would you like to be contacted:

    If yes:


    2 - The VSS Act suffered

    The VSS Act: type and context:

    Nature of the VSS act suffered

    Nature of the VSS act if other:

    Contextual situation

    Context if other:

    The author's identity:


    If you know the identity of the author and wish to disclose it, please fill in the text field below.

    Identity of potential witnesses:


    If you know of a potential witness and would like to report them, please fill in the text field below.

    3 - Your trusted advisor

    This pre-report form will be forwarded to one of the Faculty's VSS representatives. Who would you like it to be sent to?

    We congratulate you on taking this step; you are very brave. We thank you for your trust. This form will be forwarded to the person you have chosen. If you have specified this, that person will contact you as soon as possible to discuss the matter, and we are committed to supporting you throughout the process:  

    • Conducting an assessment of the situation
    • Completeness of the University of Montpellier report form 
    • Explanation of possible approaches

    And if you still need to talk to a VSS advisor later on, they will always be available.

    Otherwise, we advise you to reach out to someone you can talk to about your situation (a loved one, healthcare professional, law enforcement officer, etc.). 

      1 - Witness

      My identity:

      You may provide your identity if you wish. Otherwise, leave the field below blank. Please note that if you remain anonymous, no action can be taken. However, your report will be recorded.

      My relationship with acts of violence:

      In your opinion, is the violence still continuing?

      2 - The VSS Act suffered

      The VSS Act: type and context

      Nature of the VSS act suffered

      Nature of the VSS act if other:

      Contextual situation

      Context if other:

      The victim's identity:

      If you know the identity of the victim and wish to disclose it, please fill in the field.

      Is the victim informed of your preliminary reporting procedure?

      If so, would the victim agree to be contacted again?

      If so, you can enter their contact details here.

      The author's identity:


      If you know the identity of the author and wish to disclose it, please fill in the text field below.

      Identity of potential witnesses:


      If you know of a potential witness and would like to report them, please fill in the text field below.

      3 - Your trusted advisor

      This pre-report form will be forwarded to one of the Faculty's VSS representatives. Who would you like it to be sent to?

      We congratulate you on taking this step; you are very brave. We thank you for your trust. This form will be forwarded to the person you have chosen. If you have specified this, that person will contact you as soon as possible to discuss the matter, and we are committed to supporting both you and the victim going forward:  

      • Conducting an assessment of the situation
      • Completeness of the University of Montpellier report form 
      • Explanation of possible approaches

      And if you still need to talk to a VSS advisor later on, they will always be available.

      Otherwise, we advise you to reach out to someone you can talk to about your situation (a loved one, healthcare professional, law enforcement officer, etc.).