Fill Out a Valid Da 2166 9 1 Template
Form Specs
| Fact Name | Description |
|---|---|
| Form Purpose | The DA 2166-9-1 form is used for evaluating Non-Commissioned Officers (NCOs) at the rank of Sergeant (SGT). |
| Governing Regulations | This form is governed by Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3. |
| Privacy Act Statement | Users must be aware of the Privacy Act Statement included in AR 623-3, ensuring personal data is handled appropriately. |
| Administrative Data | Part I collects essential administrative data, including the NCO's name, SSN, rank, and unit information. |
| Authentication Section | Part II requires signatures from the rater, senior rater, and supplementary reviewer, confirming the evaluation's validity. |
| Performance Evaluation | Part IV assesses the NCO's performance in various categories, such as character, presence, and leadership abilities. |
| Overall Potential Assessment | Part V allows the senior rater to evaluate the NCO's potential compared to peers, with options ranging from "Most Qualified" to "Not Qualified." |
Dos and Don'ts
When filling out the DA 2166-9-1 form, it is important to follow specific guidelines to ensure accuracy and compliance. Here are five things to do and not to do:
- Do: Ensure all names are written in the correct format, including last name, first name, and middle initial.
- Do: Double-check the Social Security Number (SSN) or Department of Defense (DOD) ID number for accuracy.
- Do: Fill in all required fields, especially those marked with an asterisk (*) to avoid delays.
- Do: Review the performance evaluation sections carefully, providing clear and specific comments.
- Do: Sign and date the form in the appropriate sections to validate the information provided.
- Don't: Leave any sections blank; incomplete forms may be rejected or returned.
- Don't: Use abbreviations or acronyms that are not widely recognized, as this may lead to confusion.
- Don't: Forget to include the email addresses for the rater and senior rater, as this is essential for communication.
- Don't: Alter the format of the form; stick to the prescribed layout to maintain uniformity.
- Don't: Submit the form without a thorough review to ensure all information is accurate and complete.
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Common mistakes
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Incorrect Personal Information: Failing to accurately fill in the name, SSN, or rank can lead to significant issues. Ensure all details are correct and match official records.
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Missing Dates: Not providing the required dates, such as the date of rank or period covered, can result in delays or rejections of the form.
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Improper Email Addresses: Using personal email addresses instead of the required .gov or .mil addresses for raters and senior raters can cause communication issues.
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Omitting Counseling Dates: Not including the initial and later counseling dates can undermine the evaluation process. All counseling dates must be documented.
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Incomplete Duty Descriptions: Failing to provide a detailed description of daily duties and areas of special emphasis can lead to misunderstandings about the rated NCO's responsibilities.
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Inaccurate Performance Evaluations: Providing vague or inaccurate assessments in the performance evaluation section can misrepresent the rated NCO's capabilities and achievements.
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Neglecting Signature Requirements: Not obtaining the required signatures from the rater, senior rater, or supplementary reviewer can render the form invalid.
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Failure to Use Correct Codes: Misusing nonrated codes or status codes can lead to confusion regarding the rated NCO's evaluation status.
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Ignoring the Appeals Process: Not acknowledging or understanding the appeals process outlined in AR 623-3 can limit an NCO's ability to contest an unfavorable evaluation.
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Not Reviewing the Completed Report: Failing to review the completed report before signing can result in agreeing to inaccuracies. It's essential to verify all information is correct.
Documents used along the form
The DA Form 2166-9-1 is a critical document used for evaluating Non-Commissioned Officers (NCOs) in the Army. When completing this form, several other documents may also be necessary to provide a comprehensive evaluation. Below is a list of commonly used forms and documents that often accompany the DA Form 2166-9-1.
- DA Form 4856: This is the Developmental Counseling Form. It documents counseling sessions between a leader and an NCO. It outlines performance issues, goals, and development plans, helping to guide the NCO's growth.
- Mobile Home Bill of Sale: This form is important for facilitating the transfer of ownership of a mobile home. Proper documentation can be found through Forms Washington, ensuring compliance and clarity in the transaction.
- DA Form 67-9: This is the NCO Evaluation Report. It provides a detailed assessment of an NCO's performance and potential. It complements the DA Form 2166-9-1 and may be used for different ranks or situations.
- DA Form 705: This form records the results of the Army Physical Fitness Test (APFT). It is essential for evaluating an NCO’s physical readiness and overall fitness, which is a key component of their performance evaluation.
- DA Form 5500/5501: These forms are used to measure body composition. They are important for ensuring that NCOs meet Army weight standards, which can impact their evaluation and career progression.
- DA Form 201: This is the Military Personnel Record Jacket. It contains the NCO's official records, including previous evaluations, awards, and training. It provides a complete picture of the NCO's career.
- AR 623-3: This Army Regulation outlines policies and procedures for NCO evaluations. It provides guidance on how to properly complete the DA Form 2166-9-1 and other related documents.
Using these forms and documents together with the DA Form 2166-9-1 ensures a thorough and fair evaluation process for NCOs. Each document serves a specific purpose and contributes to a clearer understanding of an NCO's performance and potential within the Army.
Misconceptions
Understanding the DA Form 2166-9-1 is crucial for service members, especially those involved in evaluations. However, several misconceptions persist about this important document. Here are five common misunderstandings:
- Misconception 1: The form is only for negative evaluations.
- Misconception 2: Only the rater completes the form.
- Misconception 3: The signature of the rated NCO indicates agreement with the evaluation.
- Misconception 4: The form is not important for career advancement.
- Misconception 5: Once submitted, the evaluation cannot be changed.
This is not true. The DA Form 2166-9-1 is designed to provide a comprehensive assessment of an NCO's performance, which can include both strengths and areas for improvement. It is not solely a tool for documenting failures.
In reality, both the rater and senior rater contribute to the evaluation. Their insights provide a well-rounded view of the NCO’s performance. The rated NCO also has a role, particularly in verifying the accuracy of the administrative data.
The signature does not imply agreement or disagreement. Instead, it confirms that the rated NCO has reviewed the document and acknowledges the accuracy of the administrative data and counseling dates.
This is a significant misconception. The evaluations recorded on the DA Form 2166-9-1 can greatly impact an NCO’s career trajectory. They are often considered during promotion boards and assignments.
While it is true that changes are not common, there is an appeals process available. If an NCO believes there has been an error or unfair assessment, they can follow the procedures outlined in AR 623-3 to address their concerns.
Being aware of these misconceptions can empower NCOs to engage more effectively with their evaluations. Understanding the DA Form 2166-9-1 is essential for personal and professional growth within the military.
Preview - Da 2166 9 1 Form
HQDA#: |
Attachments Menu |
NCO EVALUATION REPORT (SGT)
For use of this form, see AR
SEE PRIVACY ACT STATEMENT
IN AR
PART I
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 |
YEAR MONTH DAY |
k.RATED MONTHS
l.NONRATED CODES
m. NO OF ENCLOSURES
n. RATED NCO'S EMAIL ADDRESS (.gov or .mil)
PART II
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 |
PMOSC/BRANCH |
ORGANIZATION |
DUTY ASSIGNMENT |
b6. SENIOR RATER'S EMAIL ADDRESS (.gov or .mil)
c1. SUPPLEMENTARY |
c2. NAME OF SUPPLEMENTARY REVIEWER |
c3. RANK |
PMOSC/ |
ORGANIZATION |
DUTY ASSIGNMENT |
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REVIEW REQUIRED? |
(Last, First, Middle Initial) |
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BRANCH |
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YES |
NO |
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c4. COMMENTS |
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c5. SUPPLEMENTARY REVIEWER'S SIGNATURE |
c6. DATE(YYYYMMDD) |
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c7. SUPPLEMENTARY REVIEWER'S EMAIL ADDRESS |
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ENCLOSED? |
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(.gov or .mil) |
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YES |
NO |
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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
d1. COUNSELING DATES INITIAL
LATER
LATER
LATER
d2. RATED NCO'S SIGNATURE
d3. DATE (YYYYMMDD)
PART III
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
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 |
STANDARD |
COMMENTS:
DA FORM |
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APD LC v1.00ES
RATED NCO'S NAME (Last, First, Middle Initial) |
SSN (or DOD ID No.) |
THRU DATE |
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PART IV
d. PRESENCE: (Military and professional |
COMMENTS: |
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bearing, Fitness, Confidence, Resilience.) |
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MET |
DID NOT MEET |
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STANDARD |
STANDARD |
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e. INTELLECT: (Mental agility, Sound judgment, COMMENTS: |
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Innovation, Interpersonal tact, Expertise.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
f. LEADS: (Leads others, Builds trust, Extends COMMENTS: |
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influence beyond the chain of command, Leads by |
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example Communicates.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
g. DEVELOPS: (Creates a positive command/ COMMENTS: |
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workplace environment, Fosters esprit de corps, |
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Prepares self, Develops others, Stewards the |
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profession.) |
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MET |
DID NOT MEET |
STANDARD |
STANDARD |
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h. ACHIEVES: (Gets results.) |
COMMENTS: |
MET |
DID NOT MEET |
STANDARD |
STANDARD |
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RATER OVERALL PERFORMANCE |
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i. I currently rate |
NCOs in this grade. |
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COMMENTS: |
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PART V |
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a. Select one box representing Rated |
b. COMMENTS: |
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NCO’s potential compared to others in the |
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same grade whom you have rated in your |
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career. I currently senior rate |
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NCOs in this grade. |
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MOST QUALIFIED |
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HIGHLY QUALIFIED |
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QUALIFIED |
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NOT QUALIFIED |
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c. List two successive assignments and one broadening assignment |
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Successive Assignment: |
1) |
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2) |
Broadening Assignment: |
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DA FORM |
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Page 2 of 2 |
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APD PE v1.00ES |
Key takeaways
Here are some key takeaways about filling out and using the DA 2166-9-1 form:
- Administrative Data: Ensure all personal information is accurate in Part I, including name, SSN, rank, and unit details.
- Submission Reason: Clearly state the reason for submission. This helps clarify the purpose of the evaluation.
- Rater and Senior Rater: Include complete information for both the rater and senior rater, including signatures and email addresses.
- Performance Evaluation: The evaluation should reflect the rated NCO’s performance in various categories, such as character and presence.
- Counseling Dates: Record all counseling dates accurately. This shows that the rated NCO has received feedback throughout the evaluation period.
- Duty Description: Provide a clear and detailed description of daily duties and special emphasis areas in Part III.
- APFT Information: Include accurate APFT results, height, and weight. Comments are necessary if standards are not met.
- Overall Performance: The rater must provide an overall assessment of the rated NCO's performance and potential.
- Signatures: Remember that the rated NCO’s signature does not indicate agreement with the evaluation but confirms the accuracy of the information provided.
- Appeals Process: Familiarize yourself with the appeals process as outlined in AR 623-3. It’s important for understanding how to address any concerns.
Similar forms
The DA Form 2166-9-1 is a crucial document used for evaluating Non-Commissioned Officers (NCOs) in the U.S. Army. Several other forms share similarities with it in terms of purpose and structure. Here are six such documents:
- DA Form 67-9: This form is used for Officer Evaluation Reports (OER). Like the DA 2166-9-1, it assesses performance and potential but is tailored for officers instead of NCOs.
- DA Form 1059: This document serves as an Academic Evaluation Report. It evaluates performance in military education courses, similar to how the DA 2166-9-1 evaluates NCOs in their duties.
- DA Form 4856: Known as the Developmental Counseling Form, it documents counseling sessions for soldiers. Both forms emphasize performance feedback and developmental goals.
- DA Form 2166-9-2: This is the NCO Evaluation Report for SSG and above. It follows a similar format to the DA 2166-9-1 but is designed for higher-ranking NCOs.
- Durable Power of Attorney Form: This important document allows individuals to designate an agent to make decisions on their behalf, remaining effective even if they become incapacitated. For more information, visit californiadocsonline.com/durable-power-of-attorney-form.
- DA Form 250: The Individual Training Record captures training and qualifications. Both forms track a soldier's progress and readiness, albeit in different contexts.
- DA Form 638: This is the recommendation for award form. It highlights achievements and performance, paralleling the evaluation aspect of the DA 2166-9-1.