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 Summary
- Entity type
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Legal entity name
Enter the organization’s legal name as it appears in SAM.gov or on the award documentation.
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UEI
Unique Entity Identifier, if available. Do not collect unnecessary PII.
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Award, subaward, or procurement reference
Internal reference number, project code, or solicitation identifier tied to this verification.
- Verification date
- Verification result
SAM.gov Search Details
- Was a SAM.gov search performed?
- Search method used
- Search timestamp
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Search summary
Briefly summarize the search terms used and the result returned by SAM.gov.
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Supporting evidence
Upload a screenshot, PDF, or export of the SAM.gov result page, if your policy requires supporting documentation.
Exception or Match Follow-Up
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Issue description
Describe the potential match, exclusion, or verification issue and any immediate concerns.
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Escalated to
Name or role of the compliance, grants, or procurement reviewer notified.
- Interim action taken
Reviewer Attestation
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Reviewer name
Name of the person completing or approving the verification record.
- Reviewer title or role
- Reviewer email
- Attestation
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