Get Da 2166 9 1 Form

Get Da 2166 9 1 Form

The DA Form 2166-9-1 is an essential document used for the NCO Evaluation Report specifically for Sergeants in the U.S. Army. This form captures vital information regarding an NCO's performance, potential, and overall contributions during a specified period. Understanding how to accurately complete this form is crucial for both the rated NCO and their evaluators.

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Structure

The DA Form 2166-9-1 is a crucial document in the Army's evaluation process for Non-Commissioned Officers (NCOs), specifically designed for the rank of Sergeant. This form serves multiple purposes, including providing a structured framework for assessing an NCO's performance, professionalism, and potential for future assignments. The form requires detailed administrative data, such as the NCO's name, Social Security Number, rank, and unit information, ensuring that all evaluations are accurately attributed. Additionally, it includes sections for raters and senior raters to authenticate their assessments, which encompass a wide range of competencies, including character, presence, intellect, leadership, development, and achievement. Each of these areas requires specific comments that reflect the NCO's adherence to Army values and their overall performance. The form also mandates a review process, allowing for supplementary evaluations to enhance the accuracy and fairness of the assessments. Ultimately, the DA Form 2166-9-1 not only evaluates past performance but also plays a significant role in shaping the future career trajectory of NCOs within the Army.

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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

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

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

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)

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

LATER

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

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

 

 

 

PART IV PERFORMANCE EVALUATION, PROFESSIONALISM, ATTRIBUTES, AND COMPETENCIES (Rater)

d. PRESENCE: (Military and professional

COMMENTS:

bearing, Fitness, Confidence, Resilience.)

 

MET

DID NOT MEET

 

STANDARD

STANDARD

 

e. INTELLECT: (Mental agility, Sound judgment, COMMENTS:

Innovation, Interpersonal tact, Expertise.)

MET

DID NOT MEET

STANDARD

STANDARD

f. LEADS: (Leads others, Builds trust, Extends COMMENTS:

influence beyond the chain of command, Leads by

example Communicates.)

 

MET

DID NOT MEET

STANDARD

STANDARD

g. DEVELOPS: (Creates a positive command/ COMMENTS:

workplace environment, Fosters esprit de corps,

Prepares self, Develops others, Stewards the

profession.)

 

MET

DID NOT MEET

STANDARD

STANDARD

 

 

h. ACHIEVES: (Gets results.)

COMMENTS:

MET

DID NOT MEET

STANDARD

STANDARD

 

 

 

 

 

 

RATER OVERALL PERFORMANCE

 

i. I currently rate

NCOs in this grade.

 

COMMENTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

NCOs in this grade.

 

 

 

 

 

 

 

 

 

 

 

 

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:

 

 

 

DA FORM 2166-­9-­1, NOV 2015

 

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APD PE v1.00ES

Document Data

Fact Name Description
Form Purpose The DA 2166-9-1 form is used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army.
Governing Regulations This form follows the guidelines set forth in AR 623-3 and DA PAM 623-3.
Privacy Act The form includes a Privacy Act Statement, ensuring the protection of personal information.
Administrative Data Part I of the form collects essential information such as the NCO's name, rank, and duty assignment.
Evaluation Components The form assesses various attributes like character, presence, intellect, leadership, development, and achievement.

How to Use Da 2166 9 1

Filling out the DA 2166-9-1 form is an important step in the evaluation process for non-commissioned officers (NCOs). After completing the form, it will need to be submitted to the appropriate personnel for review and processing. Make sure to double-check all entries for accuracy before submission.

  1. Part I - Administrative Data:
    • Enter the last name, first name, and middle initial of the rated NCO.
    • Provide the Social Security Number (SSN) or DOD ID Number.
    • Fill in the rank of the rated NCO.
    • Indicate the date of rank.
    • List the Primary Military Occupational Specialty Code (PMOSC).
    • Enter the unit, organization, station, ZIP code or APO, and major command.
    • Fill in the status code.
    • Provide the Unit Identification Code (UIC).
    • State the reason for submission.
    • Indicate the period covered by the evaluation.
    • List the number of rated months.
    • Fill in any non-rated codes.
    • Indicate the number of enclosures.
    • Provide the rated NCO's email address (must be .gov or .mil).
  2. Part II - Authentication:
    • Enter the name of the rater (last, first, middle initial).
    • Provide the rater's SSN or DOD ID Number.
    • The rater must sign the form.
    • Fill in the date (YYYYMMDD) of the rater's signature.
    • Indicate the rater's rank and PMOSC/branch organization duty assignment.
    • Provide the rater's email address (must be .gov or .mil).
    • Enter the name of the senior rater (last, first, middle initial).
    • Provide the senior rater's SSN or DOD ID Number.
    • The senior rater must sign the form.
    • Fill in the date (YYYYMMDD) of the senior rater's signature.
    • Indicate the senior rater's rank and PMOSC/branch organization duty assignment.
    • Provide the senior rater's email address (must be .gov or .mil).
    • If applicable, enter the name of the supplementary reviewer.
    • Indicate if a review is required (Yes or No).
    • Provide comments if necessary and have the supplementary reviewer sign and date the form.
    • Include the supplementary reviewer’s email address (must be .gov or .mil).
  3. Part III - Duty Description (Rater):
    • Enter the principal duty title.
    • Provide the duty MOSC.
    • Describe daily duties and scope, including people, equipment, facilities, and financial responsibilities.
    • List areas of special emphasis.
    • Indicate any appointed duties.
  4. Part IV - Performance Evaluation:
    • Indicate the APFT results (Pass/Fail/Profile) and date.
    • Provide height and weight, and indicate if within standard.
    • Assess character, presence, intellect, leadership, development, and achievement, providing comments for each area.
    • Rate overall performance and provide comments.
  5. Part V - Senior Rater Overall Potential:
    • Select the box that represents the rated NCO’s potential compared to others in the same grade.
    • List two successive assignments and one broadening assignment.

Key Facts about Da 2166 9 1

What is the DA 2166 9 1 form used for?

The DA 2166 9 1 form is utilized for the Noncommissioned Officer Evaluation Report (NCOER) for the rank of Sergeant (SGT). This form assesses the performance and potential of NCOs within the Army. It serves as a critical tool for documenting an NCO's achievements, leadership abilities, and overall contributions to their unit. Accurate completion of this form is essential for career progression and professional development.

Who is responsible for filling out the DA 2166 9 1 form?

The form is primarily filled out by the rater, who is typically the NCO's immediate supervisor. The senior rater, who is usually one level higher than the rater, also plays a significant role in the evaluation process. Additionally, the rated NCO must review the completed form and provide their signature, indicating that they have seen the report and understand its contents.

What information is required in Part I of the DA 2166 9 1 form?

Part I includes essential administrative data about the rated NCO. Required details consist of the NCO's name, Social Security Number (or DOD ID), rank, date of rank, unit information, and the period covered by the evaluation. This section ensures that the evaluation is accurately attributed to the correct individual and timeframe.

How does the evaluation process work for the DA 2166 9 1 form?

The evaluation process begins with the rater assessing the NCO's performance in various areas, such as character, presence, intellect, leadership, development, and achievements. The rater then provides comments and assigns ratings. Following this, the senior rater reviews the evaluation, offers their perspective, and assigns an overall potential rating. The rated NCO has the opportunity to sign the form, acknowledging their awareness of the evaluation.

What are the consequences of not completing the DA 2166 9 1 form correctly?

Failure to complete the DA 2166 9 1 form accurately can have serious implications for an NCO's career. Incomplete or incorrect evaluations may lead to delays in promotions, assignments, or other career advancements. Moreover, it could affect the NCO's reputation within their unit and the Army as a whole. It is vital to ensure all sections are filled out correctly and that all required signatures are obtained.

What should I do if I disagree with my evaluation on the DA 2166 9 1 form?

If there is a disagreement with the evaluation, the rated NCO should first discuss their concerns with the rater or senior rater. The appeals process outlined in AR 623-3 allows for formal challenges to the evaluation. It is important to act promptly, as there are specific timeframes for submitting an appeal. Understanding the appeals process is crucial for addressing any discrepancies in the evaluation.

Common mistakes

Filling out the DA 2166-9-1 form can be a straightforward process, but many people make common mistakes that can lead to delays or issues with their evaluation. One major mistake is failing to include all required personal information in Part I. This section asks for details like your name, SSN, and unit information. Missing any of this information can result in the form being returned for corrections.

Another frequent error involves incorrect dates. When entering the date of rank or the period covered, it’s crucial to ensure these dates are accurate and formatted correctly. An incorrect date can cause confusion and may affect the evaluation timeline.

Many individuals overlook the importance of the rated NCO's email address. Providing an incorrect or non-government email can lead to communication issues. It’s essential to double-check this information to ensure it’s valid and accessible.

In Part II, authentication is key. Some people forget to include the signatures of the rater and senior rater. Without these signatures, the form is incomplete and cannot be processed. Additionally, not including the correct rank and PMOSC for these individuals can also lead to complications.

Another mistake occurs in the performance evaluation section. Failing to provide specific comments in the evaluation areas can weaken the overall assessment. Each section, such as character and presence, requires thoughtful input. Generic comments do not effectively convey the NCO's performance.

Some individuals neglect to confirm that all enclosures are included. If there are supporting documents, they must be listed in the form. Forgetting to mention these can result in a lack of context for the evaluation.

Additionally, not understanding the counseling dates can lead to errors. If the counseling dates are not filled out correctly, it may appear that the NCO did not receive proper guidance, which can reflect poorly on both the NCO and the rater.

Many people also fail to review the completed form before submission. Taking the time to check for errors can save a lot of time and frustration. A thorough review can catch mistakes that might otherwise delay the evaluation process.

Lastly, some individuals misunderstand the significance of their signature at the end of the form. The signature does not indicate agreement or disagreement with the evaluation but verifies the accuracy of the administrative data. This distinction is important to understand to avoid misinterpretation of the evaluation process.

Documents used along the form

The DA Form 2166-9-1 is a critical document used for the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. Alongside this form, several other documents are often required to ensure a comprehensive evaluation process. Below is a list of related forms and documents that may be used in conjunction with the DA Form 2166-9-1.

  • DA Form 4856: This form is used for counseling sessions. It documents discussions between a leader and a soldier regarding performance, expectations, and development needs.
  • DA Form 705: This is the Army Physical Fitness Test Scorecard. It records the results of physical fitness tests, which are essential for evaluating an NCO's physical readiness.
  • DA Form 2-1: The Personnel Qualification Record provides a summary of a soldier's qualifications, assignments, and training history, contributing to the overall evaluation.
  • DA Form 67-9: This is the NCO Evaluation Report, which serves as a broader evaluation tool for NCOs, detailing their performance and potential.
  • DA Form 600-8-104: This form is used for the Record of Emergency Data. It contains important information about a soldier's emergency contacts and beneficiaries.
  • DA Form 4187: The Personnel Action form is used to document changes in a soldier’s status, such as promotions or transfers, which can impact evaluations.
  • DA Form 750-1: This is the Army Awards and Decorations form, which records any awards or commendations received by the soldier, reflecting their accomplishments.
  • DA Form 638: The Recommendation for Award form is used to recommend soldiers for awards based on their performance, which can influence evaluations.
  • DA Form 2446: This form is used for documenting the results of the Army's Equal Opportunity program, ensuring compliance with policies promoting fairness and equality.
  • AR 623-3: This Army Regulation outlines the policies and procedures for the evaluation of NCOs, providing guidance on the use of the DA Form 2166-9-1 and related documents.

Each of these documents plays a significant role in the evaluation process, providing a comprehensive view of an NCO's performance, qualifications, and potential. It is essential for soldiers and their leaders to understand the importance of these forms in fostering a culture of accountability and development within the Army.

Similar forms

The DA Form 2166-9-1 is an essential document used in the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. Several other forms share similarities with this evaluation report, primarily in their purpose of assessing performance, documenting qualifications, and facilitating career progression. Here are five documents that are similar to the DA Form 2166-9-1:

  • DA Form 67-9: This form is the Officer Evaluation Report (OER) used for evaluating commissioned officers. Like the DA Form 2166-9-1, it includes sections for administrative data, authentication by raters, and performance evaluations across various competencies. Both forms aim to provide a comprehensive assessment of an individual's abilities and potential within the Army.
  • DA Form 1059: The Academic Evaluation Report (AER) is used to evaluate soldiers who complete training courses. Similar to the DA Form 2166-9-1, it includes sections for performance assessment and comments on the soldier's achievements and areas for improvement. Both forms are critical for documenting professional development and training outcomes.
  • DA Form 2166-9-2: This form is the NCO Evaluation Report for staff sergeants and above. It is closely related to the DA Form 2166-9-1, as it serves a similar purpose of evaluating NCO performance, but is tailored for a higher rank. Both forms assess leadership qualities, professional attributes, and overall effectiveness in duty assignments.
  • DA Form 4856: The Developmental Counseling Form is used to document counseling sessions between leaders and soldiers. While it is not an evaluation report per se, it shares the goal of fostering professional growth and accountability. Like the DA Form 2166-9-1, it emphasizes communication between the rater and the rated individual regarding performance and expectations.
  • DA Form 7500: The Army Civilian Performance Appraisal Form is utilized for evaluating civilian employees within the Army. It parallels the DA Form 2166-9-1 in its structure and purpose, focusing on performance assessment and professional development. Both forms are integral to ensuring that personnel meet the Army's standards and expectations.

Dos and Don'ts

When filling out the DA 2166-9-1 form, careful attention to detail is crucial. Here are some important guidelines to follow, as well as some common pitfalls to avoid:

  • Do ensure all personal information is accurate. This includes your name, SSN, rank, and unit information.
  • Do use clear and concise language. Avoid vague terms and be specific about duties and responsibilities.
  • Do double-check dates. Ensure that all dates, especially the period covered and counseling dates, are correct.
  • Do provide complete information. Fill in all required fields, as incomplete forms may be rejected.
  • Don’t rush through the form. Take your time to ensure every section is filled out correctly.
  • Don’t forget to review the privacy statement. Understanding how your information will be used is important.
  • Don’t leave out signatures. Ensure that all required signatures are obtained before submission.

By following these guidelines, you can help ensure that your evaluation report is processed smoothly and accurately. Remember, attention to detail reflects your professionalism and commitment to your role.

Misconceptions

Misconceptions about the DA 2166-9-1 form can lead to confusion and improper use. Here are six common misunderstandings:

  • It's only for evaluations. Many believe the DA 2166-9-1 form is solely for performance evaluations. In reality, it also serves administrative purposes, including verifying personal information and counseling dates.
  • Only the rater signs it. Some think that only the rater's signature is required. However, both the senior rater and, if applicable, a supplementary reviewer must also sign the form.
  • Signatures indicate agreement. A common belief is that signing the form means the rated NCO agrees with the evaluations. In fact, the rated NCO's signature only confirms that they have seen the report and that the administrative data is correct.
  • It's not necessary to include comments. Some users may skip comments, thinking they are optional. Comments are essential, especially when performance does not meet standards, as they provide context for the evaluations.
  • It can be submitted at any time. Many assume the form can be submitted whenever. In reality, it must be submitted within specific timeframes related to the rating period and counseling dates.
  • Performance evaluations are the only focus. While performance evaluations are critical, the form also addresses attributes and competencies, which are vital for a comprehensive assessment of the rated NCO.

Key takeaways

When filling out and using the DA 2166-9-1 form, keep these key takeaways in mind:

  • Accuracy is crucial. Ensure all personal and administrative data, such as name, SSN, and unit, are entered correctly to avoid processing delays.
  • Understand the purpose. This form evaluates the performance of Non-Commissioned Officers (NCOs) and influences their future assignments and promotions.
  • Signatures matter. The rated NCO's signature confirms that they have reviewed the report and acknowledges the accuracy of the information, not necessarily agreement with the evaluation.
  • Complete all sections. Each part of the form, from performance evaluation to duty description, must be filled out thoroughly to provide a comprehensive assessment.
  • Review the appeals process. Familiarize yourself with the appeal procedures outlined in AR 623-3 in case you disagree with the evaluation.
  • Consult with rater and senior rater. Open communication with the rater and senior rater can clarify expectations and improve the evaluation process.