Download Da 2166 9 1 Template
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.
- 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)
- 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)
- 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
- 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
- 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.
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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: |
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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 |
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.