Official Da 2166 9 1 Template in PDF Open Da 2166 9 1 Editor

Official Da 2166 9 1 Template in PDF

The DA 2166 9 1 form is an essential document used for the Non-Commissioned Officer Evaluation Report (NCOER) for sergeants in the U.S. Army. This form captures critical information about an NCO's performance, professional attributes, and potential for future assignments. Completing this form accurately is vital for maintaining transparency and accountability within military evaluations.

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Key takeaways

When filling out and using the DA 2166-9-1 form, it is essential to understand the following key points:

  • Accurate Information: Ensure that all personal and administrative data, such as name, SSN, rank, and unit information, is filled out accurately in Part I.
  • Rater and Senior Rater Details: Include complete information for both the rater and senior rater, including their names, signatures, and email addresses.
  • Performance Evaluation: The evaluation sections require specific comments on various attributes, such as character, presence, intellect, leadership, development, and achievement. Each section must reflect the rated NCO’s performance.
  • Signature Acknowledgment: The rated NCO must understand that their signature does not imply agreement with the evaluations but confirms the accuracy of the administrative data and counseling dates.
  • Appeals Process: The rated NCO should be aware of the appeals process outlined in AR 623-3, which is important for addressing any concerns regarding the evaluation.
  • Overall Potential Assessment: The senior rater must select a box indicating the rated NCO’s potential compared to peers, which can impact future assignments and career progression.
  • Documentation Requirements: Be mindful of any enclosures that may need to accompany the form, as indicated in Part I.

Documents used along the form

The DA 2166-9-1 form is essential for evaluating the performance of Non-Commissioned Officers (NCOs). Along with this form, several other documents are commonly used to ensure a comprehensive evaluation process. Below is a list of these forms and documents, each serving a specific purpose in the evaluation and reporting process.

  • DA Form 4856: This form is used for counseling sessions between NCOs and their superiors. It documents discussions about performance, expectations, and areas for improvement.
  • DA Form 1059: This form records the completion of Army training courses. It highlights an NCO's professional development and educational achievements.
  • DA Form 670-1: The Army's uniform regulation form outlines proper wear and appearance of uniforms. It is important for maintaining professionalism within the ranks.
  • DA Form 7508: This form is used to document administrative actions, such as disciplinary measures or commendations, that may affect an NCO's evaluation.
  • Small Estate Affidavit: This form is essential for heirs in California to collect assets without probate; for more information, visit All California Forms.
  • DA Form 2446: This document serves as a record of the NCO's promotion eligibility. It includes information about the NCO's qualifications and readiness for advancement.
  • DA Form 3286: This form is utilized for documenting an NCO's special assignments and duties. It provides insight into their leadership roles and responsibilities.
  • AR 623-3: This regulation provides guidance on the evaluation process for NCOs. It outlines policies and procedures that govern the completion of evaluation reports.

Each of these documents plays a vital role in the overall evaluation process, ensuring that NCOs receive fair and thorough assessments of their performance and potential. Properly completing and maintaining these forms is crucial for the professional growth of NCOs and the integrity of the evaluation system.

Similar forms

  • DA Form 2166-9-2: This form is used for evaluating staff sergeants and is similar in structure to the DA 2166 9 1. It includes sections for administrative data, performance evaluation, and overall potential, making it a comprehensive tool for assessing NCOs.
  • DA Form 67-9: This is the Officer Evaluation Report (OER) for officers. Like the DA 2166 9 1, it contains sections for administrative data, performance evaluation, and ratings by superiors, ensuring a standardized evaluation process across ranks.
  • DA Form 1059: The Academic Evaluation Report (AER) is used for documenting performance in military schools. It shares similarities in its focus on performance metrics and feedback from instructors, emphasizing the importance of education in military careers.
  • DA Form 4856: This form is used for counseling sessions. It parallels the DA 2166 9 1 in that it documents feedback and performance assessments, providing a framework for professional development and improvement.
  • DA Form 750: The Performance Evaluation Report for civilians is akin to the DA 2166 9 1, as it assesses job performance and includes input from supervisors, ensuring consistency in evaluation across military and civilian personnel.
  • DA Form 2446: This form is used for documenting the performance of enlisted soldiers in training. It resembles the DA 2166 9 1 in its focus on evaluation criteria and performance standards, crucial for career progression.
  • DA Form 67-10: This form serves as the evaluation tool for warrant officers. Similar to the DA 2166 9 1, it includes administrative details, performance evaluations, and recommendations for future assignments.
  • DA Form 5-1: The Enlisted Record Brief (ERB) provides a summary of an enlisted soldier's career. It is similar in that it contains essential administrative information and performance indicators, serving as a key reference for evaluations.
  • Affidavit of Residency form: This legal document is essential for verifying a person's residency in Florida, often required for school enrollment or state benefits. For more details, visit All Florida Forms.

  • DA Form 4100: The Noncommissioned Officer Record Brief (NCOERB) outlines an NCO's career history and performance. It shares a similar purpose with the DA 2166 9 1, focusing on documenting and assessing performance over time.
  • DA Form 2166-9-3: This form evaluates master sergeants and is structured similarly to the DA 2166 9 1. It includes sections for performance evaluation and potential assessment, maintaining consistency in the evaluation process across different ranks.

Document Data

Fact Name Details
Purpose The DA Form 2166-9-1 is used for evaluating Non-Commissioned Officers (NCOs) in the U.S. Army.
Governing Regulations This form is governed by AR 623-3 and DA PAM 623-3, which outline the evaluation process for NCOs.
Privacy Act Compliance The form includes a Privacy Act Statement to protect the personal information of individuals involved.
Signature Requirement Both the rater and senior rater must sign the form, confirming their evaluation of the rated NCO.
Performance Evaluation Sections It includes sections for evaluating performance, professionalism, attributes, and competencies of the NCO.
Submission Period The form requires a specified period covered for the evaluation, detailing the start and end dates.

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Common mistakes

  1. Incorrect Personal Information: Failing to accurately fill in the name, SSN, or rank can lead to significant delays and complications.

  2. Missing Dates: Not providing the correct dates for rank, submission, or counseling can result in processing issues.

  3. Incomplete Duty Description: Omitting essential details in the duty description may lead to misunderstandings about the NCO's responsibilities.

  4. Incorrect Email Addresses: Entering invalid email addresses for raters or the rated NCO can hinder communication.

  5. Failure to Sign: Neglecting to provide signatures where required can invalidate the form.

  6. Not Following Formatting Guidelines: Ignoring the required format for dates and other fields can cause confusion and errors.

  7. Inaccurate APFT Information: Providing incorrect APFT results or failing to include comments for failures can lead to disputes.

  8. Neglecting to Review: Failing to thoroughly review the completed form for accuracy before submission can result in overlooked mistakes.

  9. Missing Enclosures: Not including the required number of enclosures can affect the completeness of the evaluation.

  10. Ignoring Submission Guidelines: Not adhering to the specific instructions for submission can delay processing and evaluation.

Preview - Da 2166 9 1 Form

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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

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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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