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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
  • Legal entity name
    Enter the organization’s legal name as it appears in SAM.gov or on the award documentation.
  • UEI
    Unique Entity Identifier, if available. Do not collect unnecessary PII.
  • 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
  • Search summary
    Briefly summarize the search terms used and the result returned by SAM.gov.
  • 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

  • Issue description
    Describe the potential match, exclusion, or verification issue and any immediate concerns.
  • Escalated to
    Name or role of the compliance, grants, or procurement reviewer notified.
  • Interim action taken

Reviewer Attestation

  • Reviewer name
    Name of the person completing or approving the verification record.
  • Reviewer title or role
  • Reviewer email
  • Attestation
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