{{subst:XRV
|action = <!-- The type of action (or set of related actions) you're asking to be reviewed, e.g. "block" -->
|date = <!-- Month and year in which the action was performed, e.g. "January 2015" -->
|diffs = <!-- Diff(s) or log entries relating to the action -->
|editor = <!-- Username of editor who performed the action -->
|discussion = <!-- Link to the discussion with the editor about the action, or explain why no discussion took place -->
|reason = <!-- BRIEF explanation of why this action is being reviewed, including why you believe the action should not be endorsed and any background information necessary to understand the action -->
<!-- After submitting, you MUST notify the user of this administrative action review discussion on their talk page. -->
}} ~~~~
