ACA REPORTING EVIDENCE INDEX
Reporting year / legal employer:
Index owner / backup / controlled storage:

INDEX ROW
Evidence ID:
Layer: scope / source / decision / review / output / outcome / correction
Description and question answered:
Employer or internal person reference:
Relevant period:
File or controlled link / version / date:
Owner:
Preceding evidence ID / following evidence ID:
Access restrictions:
Retention policy reference / active hold review:

APPROVAL ENTRY
Actual approver / date / reviewed version / scope:
Changes after approval and refreshed review:

RETRIEVAL TEST
Record selected:
[ ] Scope and source located
[ ] Decision and supporting reference located
[ ] Actual approval located
[ ] Submitted version linked to outcome
[ ] Later corrections identified
Tested by / date / gaps / remediation owner:

CLOSEOUT
Missing evidence requested:
Employee-statement process records:
Open questions and next review date: