Document Screening Checklist Form
Use this checklist to review documents against required screening criteria and record your findings.
Reviewer Name
*
First Name
Last Name
Date of Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Document Title
*
Document Type
*
Please Select
Contract
Report
Application
Invoice
Other
Is the document complete?
*
Yes
No
Are all required sections present?
*
Yes
No
Are all signatures and dates included?
*
Yes
No
Not Applicable
Is the document legible and free of alterations?
*
Yes
No
Are all attachments and supporting documents included?
*
Yes
No
Not Applicable
Comments or Notes
Submit Checklist
Should be Empty: