diff --git a/docs/verification-report-template.json b/docs/verification-report-template.json
new file mode 100644
index 0000000..085a878
--- /dev/null
+++ b/docs/verification-report-template.json
@@ -0,0 +1,70 @@
+{
+  "report": {
+    "project": {
+      "name": "runtime-role-matrix-live-202607141522-v2",
+      "role": "reviewer",
+      "version": "1.0",
+      "date": "2026-07-14"
+    },
+    "verification": {
+      "changedFiles": {
+        "status": "pending",
+        "checkedAt": null,
+        "checkedBy": null,
+        "items": []
+      },
+      "tests": {
+        "status": "pending",
+        "checkedAt": null,
+        "checkedBy": null,
+        "totalTests": 0,
+        "passed": 0,
+        "failed": 0,
+        "skipped": 0,
+        "coverage": 0
+      },
+      "ci": {
+        "status": "pending",
+        "checkedAt": null,
+        "checkedBy": null,
+        "pipelineName": null,
+        "buildNumber": null,
+        "result": null
+      },
+      "operationalRisk": {
+        "status": "pending",
+        "checkedAt": null,
+        "checkedBy": null,
+        "securityIssues": [],
+        "vulnerabilities": [],
+        "riskLevel": "unknown"
+      }
+    },
+    "summary": {
+      "totalScore": 0,
+      "maxScore": 25,
+      "issues": [],
+      "approvalStatus": "pending"
+    },
+    "signatures": [
+      {
+        "role": "author",
+        "name": null,
+        "date": null,
+        "signature": null
+      },
+      {
+        "role": "reviewer",
+        "name": null,
+        "date": null,
+        "signature": null
+      },
+      {
+        "role": "approver",
+        "name": null,
+        "date": null,
+        "signature": null
+      }
+    ]
+  }
+}