Form fill by viewing document on same UI

What could be the best UI desing if we need to provide a user a single UI where user can view the document uploaded at the backend and fill the form by viewing the details available in the documents.

Also, how to highlight if some fields are already verified, failed or on hold status at every field level and provide the summary view.

component:

  • Survey Form
  • Document view
  • field level status
  • list of pending actions

Basic Wireframe:

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