Fill Templates Online

Fill Templates Online

Homepage Download Da 2166 9 1 Template
Content Overview

The DA 2166-9-1 form plays a crucial role in the evaluation process of Non-Commissioned Officers (NCOs) in the United States Army. This form, officially titled the NCO Evaluation Report, is utilized to assess the performance and potential of NCOs at the rank of Sergeant. It serves several key functions, including documenting the administrative data of the rated NCO, such as their name, Social Security Number (or Department of Defense ID), rank, and unit information. Additionally, the form requires input from both the rater and the senior rater, ensuring a comprehensive evaluation through multiple perspectives. The evaluation focuses on various attributes, including character, presence, intellect, leadership, development, and achievement, allowing for a holistic view of the NCO's capabilities and contributions. Moreover, the form emphasizes the importance of counseling and feedback, with sections dedicated to documenting counseling dates and the rated NCO's acknowledgment of the report's contents. By providing a structured format for performance assessment, the DA 2166-9-1 form not only facilitates the professional growth of NCOs but also ensures that Army standards are upheld and that personnel are prepared for future responsibilities.

Key takeaways

Filling out the DA 2166-9-1 form correctly is essential for an accurate NCO evaluation report. Here are some key takeaways to help you navigate the process:

  • Complete All Required Fields: Ensure that every section in Part I is filled out accurately, including your name, SSN, rank, and unit information.
  • Understand Your Role: The form requires input from both the rater and senior rater. Know who is responsible for each section.
  • Signature Acknowledgment: Your signature does not mean you agree with the evaluation. It simply confirms that the information is correct.
  • Use Proper Email Addresses: Make sure to use your official .gov or .mil email addresses for all parties involved.
  • Performance Evaluation: Pay attention to the performance evaluation section. Specific comments are necessary to support the ratings given.
  • Review Counseling Dates: Document all counseling dates accurately. This is crucial for tracking your development and feedback.
  • Check for Enclosures: If there are any additional documents to submit, note the number of enclosures in the designated field.
  • Be Aware of the Appeals Process: Familiarize yourself with the appeals process outlined in AR 623-3. This knowledge can be beneficial if you disagree with the evaluation.
  • Final Review: Before submitting, review the entire form to ensure all information is complete and accurate. Mistakes can lead to delays or issues in processing.

Following these guidelines will help ensure that your evaluation report is completed correctly and reflects your performance accurately.

Guide to Writing Da 2166 9 1

Filling out the DA 2166-9-1 form is an important task that requires careful attention to detail. This form is used for the NCO Evaluation Report and must be completed accurately to ensure proper evaluation of the rated NCO. Below are the steps to help you fill out the form correctly.

  1. Begin with Part I - Administrative Data. Fill in the following information:
    • a. Name (Last, First, Middle Initial)
    • b. SSN (or DOD ID No.)
    • c. Rank
    • d. Date of Rank
    • e. PMOSC
    • f. Unit, Organization, Station, ZIP Code or APO, Major Command
    • g. Status Code
    • h. UIC
    • i. Reason for Submission
    • j. Period Covered From/Thru (Year, Month, Day)
    • k. Rated Months
    • l. Nonrated Codes
    • m. Number of Enclosures
    • n. Rated NCO's Email Address (.gov or .mil)
  2. Proceed to Part II - Authentication. Complete the following sections:
    • 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 Review Required? (Yes/No)
    • c2. Name of Supplementary Reviewer
    • c3. Rank PMOSC/Organization Duty Assignment
    • c4. Comments
    • c5. Supplementary Reviewer's Signature
    • c6. Date (YYYYMMDD)
    • c7. Supplementary Reviewer's Email Address (.gov or .mil)
  3. Next, complete Part III - Duty Description by providing:
    • a. Principal Duty Title
    • b. Duty MOSC
    • c. Daily Duties and Scope
    • d. Areas of Special Emphasis
    • e. Appointed Duties
  4. Then, fill out Part IV - Performance Evaluation. Address the following:
    • a. APFT Pass/Fail/Profile and Date
    • b. Height and Weight, including whether within standard
    • c. Character comments
    • d. Presence comments
    • e. Intellect comments
    • f. Leads comments
    • g. Develops comments
    • h. Achieves comments
    • i. Rater Overall Performance comments
  5. Finally, complete Part V - Senior Rater Overall Potential:
    • a. Select a box representing the Rated NCO’s potential
    • b. Provide comments
    • c. List two successive assignments and one broadening assignment

After completing the form, review all entries for accuracy. Ensure that all signatures are obtained and that the form is submitted as required. Completing this form accurately is essential for the evaluation process and the professional growth of the rated NCO.

Form Preview Example

HQDA#:

Attachments Menu

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

 

Page 2 of 2

 

 

 

 

 

 

 

APD PE v1.00ES

Documents used along the form

The DA Form 2166-9-1 is an essential document used in the evaluation of Non-Commissioned Officers (NCOs) within the U.S. Army. However, it is often accompanied by other forms and documents that help provide a comprehensive view of an NCO's performance and potential. Below is a list of some of these important documents.

  • DA Form 2166-9-2: This form is used for evaluating NCOs at the rank of Staff Sergeant through Sergeant Major. It provides a similar structure to the DA Form 2166-9-1 but is tailored for higher ranks, allowing for more detailed assessments of leadership and performance.
  • Texas Motor Vehicle Power of Attorney: This legal document allows an individual to grant another person authority to manage vehicle ownership and registration, ensuring efficient handling of transactions. For more information, visit smarttemplates.net.
  • DA Form 4856: This is the Developmental Counseling Form. It is used to document counseling sessions between leaders and soldiers. These sessions can cover performance, conduct, and professional development, and they serve as a crucial part of the evaluation process.
  • DA Form 670-1: This form outlines the Army's uniform policy. While not directly related to evaluations, it helps ensure that soldiers meet the appearance standards expected of them, which can indirectly affect their evaluations.
  • DA Form 705: This is the Army Physical Fitness Test Scorecard. It records the results of a soldier's physical fitness test, which is a critical component of performance evaluations. Maintaining physical fitness is essential for NCOs, and this form captures that information.
  • DA Form 5500/5501: These forms are used for body fat measurement. If a soldier does not meet height and weight standards, these forms are necessary to document their body composition and ensure compliance with Army regulations.
  • Army Command Policy (AR 600-20): This regulation outlines the policies and procedures for command and leadership within the Army. It provides context for the expectations placed on NCOs, including their roles in maintaining discipline and fostering a positive command climate.

Each of these documents plays a vital role in the evaluation process, contributing to a well-rounded assessment of an NCO's capabilities and potential. Understanding how these forms interconnect can help leaders and soldiers alike navigate the evaluation landscape more effectively.