Suspension and Debarment (SAM.gov) Verification Log
Suspension and Debarment (SAM.gov) Verification Log
Log to document SAM.gov verification that a subrecipient or contractor is not suspended, debarred, or excluded before award under 2 CFR 180.300.
Verification Record
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Verification Date
Date the SAM.gov check was completed.
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Entity Type
Select the type of organization being checked.
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Entity Name
Legal name of the organization being verified.
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UEI or Other Internal Identifier
Enter the UEI if available, or an internal identifier used for audit trail purposes. Do not collect SSN or other unnecessary PII.
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Award, Contract, or Subaward Reference
Optional reference number for the related procurement or award action.
SAM.gov Search Details
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Search Method
Select the method used to verify suspension, debarment, or exclusion status.
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Search Result Status
Record the outcome of the verification.
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SAM.gov Record URL
Optional link to the SAM.gov record or search results used for verification.
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Verification Notes
Brief notes describing the search terms used, any clarifications, or why the result was unresolved.
Exception Review
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Exception Type
Select all reasons that apply to the exception or unresolved result.
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Follow-Up Required Before Award?
Indicate whether additional review is needed before proceeding.
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Assigned Reviewer
Name or role of the person responsible for resolving the exception.
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Follow-Up Due Date
Target date for completing the exception review.
Reviewer Attestation
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Reviewer Name
Name of the staff member who completed the verification.
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Reviewer Title or Role
Optional job title or role for the audit trail.
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Attestation
Required confirmation that the verification was completed and documented.
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