GOVERNMENT PAYER 1099-G DATA REVIEW Reporting year: Program: Agency identity source: Applicable form/instruction revision: CLASSIFICATION Payment category and box: Threshold source/year: Specific any-amount exception: Backup-withholding review: Other-form routing question: RECIPIENT REVIEW Internal recipient reference: Protected identity source: Name/TIN conflict: Address history: Representative versus recipient question: Duplicate segments and evidence: Resolution reference: MAPPING AND TOTALS Gross payment total by box: Federal withholding: State withholding: Underlying refund tax year: Separate-year forms required: Box 8 basis if applicable: 2026 family leave box 10 mapping: State fields 11a/11b/12 mapping: Expected records: Actual export records: Amount/count difference: EXCEPTIONS AND RELEASE Reversal or disputed-payment case: Confirmed correction reference: Recipient-furnishing exception basis: IRS filing status kept separate: Reviewed data version: Submission result: Outstanding action: