SAM renewal discrepancy ledger — blank review aid
Editorial version: 2026-10-31. Not an official SAM form or an eligibility decision.
Complete privately. Do not include passwords, access tokens or personal contacts.

Review reference:
Intended legal entity / physical location:
Identifier and how identity was matched:

1. HISTORICAL EXTRACT
Source and source date:
When received/read:
Exact recorded status and expiration (leave unknown values unknown):
Evidence reference:

2. RENEWAL SUBMISSION
Claimed submission date:
Acknowledgement or statement received (label unverified statements):
Matching entity reference:
What is NOT established by this item:

3. OFFICIAL STATUS CHECK
Official source:
Observation date, time and time zone:
Identity matched:
Exact displayed status and expiration:
Evidence reference / limitations:

4. CONCLUSION
Historical value retained:
Newer evidence accepted and why, OR unresolved item:
No activation or new expiration inferred solely from submission or elapsed time.
Follow-up owner (role is enough):
Next review date and required evidence:

Keep the source observations separate. Do not edit a historical extract to reflect a later claim.
Verify consequential decisions through the applicable official process.