Wikipedia:Requests for mediation/Top/Sample

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Contents 1 Sample 1.1 Involved parties 1.2 Articles involved 1.3 Other steps in dispute resolution that have been attempted: 1.4 Issues to be mediated 1.5 Additional issues to be mediated 1.6 Parties' agreement to mediate 1.7 Decision of the Mediation Committee

Sample

Involved parties

• Example (talk • contribs)
• Example (talk • contribs)

Articles involved

• Example (edit|talk|history|links|watch|logs)

Other steps in dispute resolution that have been attempted:

• Example link 1
• Example link 2

Issues to be mediated

• Issue 1
• Issue 2

Additional issues to be mediated

• Additional issue 1
• Additional issue 2

Parties' agreement to mediate

All parties should sign below, indicating that they agree to mediate the issue. If any party fails to sign, or if a party indicates they do not agree, then the mediation will be rejected. Only signatures and "agree" or "disagree" should appear here; any comments will be removed.

1. Agree.

Decision of the Mediation Committee

A member of the Mediation Committee will indicate acceptance/rejection/other relevant notes in this section. Non-mediators should not edit this section.