The DA Form 2166-9-1 is an essential document used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army. This form captures vital administrative data, performance evaluations, and feedback from raters and senior raters. Understanding its components is crucial for ensuring accurate assessments and fostering professional development within the ranks.
DA Form 2166-9-2: This form is used for evaluating NCOs at the rank of Staff Sergeant and above. Similar to the DA 2166-9-1, it includes sections for administrative data, authentication, duty description, and performance evaluation.
DA Form 1059: This document is a service school academic evaluation report. Like the DA 2166-9-1, it assesses performance and includes sections for comments from evaluators.
DA Form 67-9: This form is used for officer evaluation reports. It shares similarities in structure, including sections for administrative data and performance evaluations.
DA Form 4856: This is a developmental counseling form. It also includes sections for documenting counseling sessions and performance, similar to the evaluation aspects of the DA 2166-9-1.
DA Form 7000: This form is used for enlisted record briefs. It contains administrative data and performance history, paralleling the information required in the DA 2166-9-1.
DA Form 67-10: This is used for evaluating warrant officers. It has a similar structure, with sections for performance evaluation and overall potential.
DA Form 7456: This form is for Army award recommendations. Like the DA 2166-9-1, it requires detailed descriptions of accomplishments and performance.
DA Form 4187: This is a personnel action request form. It includes administrative data and can document changes in duty status, similar to the information captured in the evaluation report.
DA Form 2-1: This is the personnel qualification record. It includes similar administrative data and performance history relevant to the individual’s military career.
DA Form 1059-1: This is used for academic evaluation reports for NCOs. It shares similarities with the DA 2166-9-1 in terms of evaluating performance and potential.
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NCO EVALUATION REPORT (SGT)
For use of this form, see AR 623-3 and DA PAM 623-3;; the proponent agency is DCS, G-1.
SEE PRIVACY ACT STATEMENT
IN AR 623-3
PART I - ADMINISTRATIVE DATA
a.NAME (Last, First, Middle Initial)
b. SSN (or DOD ID No.)
c. RANK
d. DATE OF RANK
e. PMOSC
f. UNIT, ORG, STATION, ZIP CODE OR APO, MAJOR COMMAND
g. STATUS CODE
h. UIC
i. REASON FOR SUBMISSION
j. PERIOD COVERED
FROMTHRU
YEAR MONTH DAY
k.RATED MONTHS
l.NONRATED CODES
m. NO OF ENCLOSURES
n. RATED NCO'S EMAIL ADDRESS (.gov or .mil)
PART II - AUTHENTICATION
a1. NAME OF RATER (Last, First, Middle Initial)
a2. SSN (or DOD ID No.)
a3. RATER'S SIGNATURE
a4. DATE (YYYYMMDD)
a5. RANK
PMOSC/BRANCH
ORGANIZATION
DUTY ASSIGNMENT
a6. RATER'S EMAIL ADDRESS (.gov or .mil)
b1. NAME OF SENIOR RATER (Last, First, Middle Initial)
b2. SSN (or DOD ID No.)
b3. SENIOR RATER'S SIGNATURE
b4. DATE (YYYYMMDD)
b5. RANK
b6. SENIOR RATER'S EMAIL ADDRESS (.gov or .mil)
c1. SUPPLEMENTARY
c2. NAME OF SUPPLEMENTARY REVIEWER
c3. RANK
PMOSC/
REVIEW REQUIRED?
(Last, First, Middle Initial)
BRANCH
YES
NO
c4. COMMENTS
c5. SUPPLEMENTARY REVIEWER'S SIGNATURE
c6. DATE(YYYYMMDD)
c7. SUPPLEMENTARY REVIEWER'S EMAIL ADDRESS
ENCLOSED?
(.gov or .mil)
RATED NCO: I understand my signature does not constitute agreement or disagreement with the assessments of the rater and senior rater. I further understand my signature verifies that the administrative data in Part I, the rating officials and counseling dates in Part II, the duty description in Part III, and the APFT and height/weight entries in Part IVa and IVb are correct. I have seen the completed report. I am aware of the appeals process of AR 623-3.
d1. COUNSELING DATES INITIAL
LATER
d2. RATED NCO'S SIGNATURE
d3. DATE (YYYYMMDD)
PART III - DUTY DESCRIPTION (Rater)
a. PRINCIPAL DUTY TITLE
b. DUTY MOSC
c.DAILY DUTIES AND SCOPE (To include, as appropriate, people, equipment, facilities, and dollars)
d.AREAS OF SPECIAL EMPHASIS
e.APPOINTED DUTIES
PART IV - PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)
a. APFT Pass/Fail/Profile:
Date:
b. Height:
Weight:
Within Standard?
(Comments required for "Failed" APFT, "No" APFT, or "Profile" when it precludes performance of duty, and "No" for Army Weight Standards.) Reset Item a. APFT/Pass/Fail/Profile
c.CHARACTER: (Include bullet comments addressing Rated NCO's performance as it relates to adherence to Army Values, Empathy, Warrior Ethos/Service Ethos, and Discipline. Fully supports SHARP, EO, and EEO.)
MET
DID NOT MEET
STANDARD
COMMENTS:
DA FORM 2166-9-1, NOV 2015
Page 1 of 2
APD LC v1.00ES
RATED NCO'S NAME (Last, First, Middle Initial)
SSN (or DOD ID No.)
THRU DATE
d. PRESENCE: (Military and professional
bearing, Fitness, Confidence, Resilience.)
e. INTELLECT: (Mental agility, Sound judgment, COMMENTS:
Innovation, Interpersonal tact, Expertise.)
f. LEADS: (Leads others, Builds trust, Extends COMMENTS:
influence beyond the chain of command, Leads by
example Communicates.)
g. DEVELOPS: (Creates a positive command/ COMMENTS:
workplace environment, Fosters esprit de corps,
Prepares self, Develops others, Stewards the
profession.)
h. ACHIEVES: (Gets results.)
RATER OVERALL PERFORMANCE
i. I currently rate
NCOs in this grade.
PART V - SENIOR RATER OVERALL POTENTIAL
a. Select one box representing Rated
b. COMMENTS:
NCO’s potential compared to others in the
same grade whom you have rated in your
career. I currently senior rate
MOST QUALIFIED
HIGHLY QUALIFIED
QUALIFIED
NOT QUALIFIED
c. List two successive assignments and one broadening assignment (3-5 years).
Successive Assignment:
1)
2)
Broadening Assignment:
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APD PE v1.00ES
When filling out and using the DA 2166-9-1 form, it is essential to keep several key points in mind:
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After gathering the necessary information, you can begin filling out the DA Form 2166-9-1. This form is essential for documenting the performance of a Non-Commissioned Officer (NCO). Ensure that all information is accurate and complete before submission.