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The DA 2166 9 1 form is an official document used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army. This form captures essential administrative data, performance evaluations, and rater assessments. Completing this form accurately is crucial for the evaluation process, so please fill it out by clicking the button below.

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Key takeaways

When filling out and using the DA 2166-9-1 form, consider the following key takeaways:

  • Accuracy is crucial. Ensure all personal information, including name, SSN, and rank, is correct to avoid delays.
  • Understand the purpose. This form is primarily used for evaluating the performance of Non-Commissioned Officers (NCOs).
  • Follow the guidelines. Refer to AR 623-3 and DA PAM 623-3 for specific instructions and requirements.
  • Complete all sections. Every part of the form must be filled out completely to ensure a comprehensive evaluation.
  • Use clear language. When describing duties and performance, be straightforward and specific to convey your message effectively.
  • Consult the Privacy Act Statement. Familiarize yourself with the privacy implications of the information you are providing.
  • Signature implications. Signing the form does not indicate agreement with the evaluation, but confirms that the administrative data is accurate.
  • Be mindful of timelines. Pay attention to the dates required for submission and ensure timely completion.
  • Communicate with evaluators. Maintain open lines of communication with the rater and senior rater for any clarifications needed.
  • Prepare for potential appeals. Be aware of the appeals process outlined in AR 623-3 should you disagree with the evaluations.

By keeping these points in mind, you can ensure a smoother experience when filling out and utilizing the 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

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

Similar forms

The DA Form 2166-9-1, known as the NCO Evaluation Report for Sergeants, shares similarities with the DA Form 67-9, which is the Officer Evaluation Report. Both forms serve the purpose of evaluating the performance and potential of military personnel. Each document includes sections for administrative data, performance assessments, and the signatures of raters and senior raters. Furthermore, both forms emphasize the importance of providing constructive feedback and identifying areas for improvement, ensuring that evaluations are comprehensive and reflective of the individual’s contributions to their unit.

Another document akin to the DA Form 2166-9-1 is the DA Form 4856, which is the Developmental Counseling Form. This form is utilized for documenting counseling sessions between leaders and subordinates. Like the NCO Evaluation Report, it includes sections for identifying strengths and weaknesses, as well as setting goals for future performance. The focus on personal development and mentorship is a common theme, fostering an environment where soldiers can grow and succeed in their roles.

The DA Form 1059, the Academic Evaluation Report, is also similar in its evaluative nature. This form is used to assess the performance of soldiers during formal training courses. It captures information about the soldier’s academic achievements and overall conduct, much like the DA Form 2166-9-1 assesses an NCO's performance in their assigned duties. Both forms require the input of evaluators who provide feedback on the individual’s competencies and areas for improvement.

In addition, the DA Form 2166-9-2, which is the NCO Evaluation Report for Staff Sergeants and above, parallels the DA Form 2166-9-1 in structure and purpose. Both documents are designed to evaluate the performance and potential of non-commissioned officers, albeit at different ranks. They share common sections for administrative data, performance evaluations, and rater comments, highlighting the importance of consistent evaluation criteria across different levels of leadership within the Army.

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The DA Form 67-10, the Officer Evaluation Report for Captains and above, bears resemblance to the NCO Evaluation Report as well. It evaluates the performance of commissioned officers and includes similar sections for administrative data, performance assessments, and rater feedback. The focus on leadership qualities and potential for future assignments is a consistent theme in both forms, ensuring that evaluations are aligned with the Army’s objectives for personnel development.

Another related document is the DA Form 638, which is the Recommendation for Award. While its primary purpose is to recommend soldiers for awards based on their performance, it also requires detailed descriptions of the individual’s contributions and achievements. This emphasis on recognizing outstanding performance aligns with the goals of the DA Form 2166-9-1, which seeks to provide a thorough assessment of an NCO’s capabilities and accomplishments.

The DA Form 750, the Performance Evaluation of Civilian Employees, shares a similar purpose with the NCO Evaluation Report, though it is tailored for civilian personnel. Both forms aim to assess performance, set expectations, and provide feedback for improvement. The structure of each document includes sections for performance ratings and comments, ensuring that evaluations are fair and constructive across both military and civilian personnel.

Additionally, the DA Form 1559, the Army Substance Abuse Program (ASAP) Referral, is comparable in its evaluative aspect. This form documents referrals for substance abuse issues and includes sections for assessments and recommendations. While the focus differs, both forms aim to identify areas of concern and facilitate improvement, highlighting the Army’s commitment to the well-being of its personnel.

Lastly, the DA Form 2807-1, the Report of Medical History, is somewhat similar in that it provides a comprehensive overview of an individual’s medical background. While its focus is on health rather than performance, both forms require detailed information and aim to ensure that personnel are fit for duty. The thoroughness and attention to detail required in each document reflect the Army's commitment to maintaining high standards for its members.

How to Use Da 2166 9 1

Completing the DA 2166-9-1 form is an important step in the evaluation process for NCOs. This form requires accurate information about the rated NCO, their rater, and their senior rater. Following these steps will help ensure that the form is filled out correctly.

  1. Begin with Part I - Administrative Data. Fill in the rated NCO's name (last, first, middle initial), SSN or DOD ID number, rank, date of rank, PMOSC, unit, organization, station, ZIP code or APO, major command, status code, UIC, reason for submission, and the period covered (from and through).
  2. In the same section, indicate the rated months, nonrated codes, number of enclosures, and the rated NCO's email address.
  3. Move to Part II - Authentication. Fill in the name, SSN or DOD ID number, signature, date, rank, PMOSC/branch, organization, and duty assignment for the rater. Include the rater's email address.
  4. Next, provide the same information for the senior rater, including their name, SSN or DOD ID number, signature, date, rank, PMOSC/branch, organization, and duty assignment. Don’t forget the senior rater's email address.
  5. If applicable, fill in the supplementary reviewer’s information, including their name, rank, PMOSC/organization, and whether a review is required. Add comments, signature, date, and email address.
  6. In the rated NCO section, indicate counseling dates and the rated NCO's signature and date.
  7. Proceed to Part III - Duty Description. Enter the principal duty title, duty MOSC, daily duties and scope, areas of special emphasis, and appointed duties.
  8. Next, complete Part IV - Performance Evaluation. Start with the APFT results, including pass/fail/profile date, height, weight, and whether the rated NCO is within standard.
  9. Evaluate character, presence, intellect, leadership, development, and achievement. Provide comments for each section, indicating whether the rated NCO met or did not meet the standard.
  10. In Part V - Senior Rater Overall Potential, select the appropriate box representing the rated NCO's potential and provide comments. List two successive assignments and one broadening assignment.

Once you have filled out all sections, double-check for accuracy and completeness. Ensure that all signatures are obtained before submitting the form. This will help in maintaining the integrity of the evaluation process.

Documents used along the form

The DA Form 2166-9-1 is a critical document for evaluating Non-Commissioned Officers (NCOs) in the Army. It helps provide a structured assessment of an NCO’s performance and potential. Along with this form, several other documents are commonly used to ensure a comprehensive evaluation process. Below is a list of these documents, along with a brief description of each.

  • DA Form 2166-9: This is the NCO Evaluation Report that covers a broader range of ranks. It provides a summary of an NCO's performance over a specified period, including comments from raters and senior raters.
  • DA Form 4856: Known as the Developmental Counseling Form, this document is used to record counseling sessions between leaders and soldiers. It helps track performance and development needs.
  • 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 adherence to Army standards.
  • DA Form 5500/5501: These forms are used for recording body fat measurements. They are necessary for ensuring compliance with Army weight standards.
  • DA Form 2028: This is the Recommended Changes to Publications form. It allows soldiers to suggest changes or updates to Army publications, including evaluation forms.
  • NCOER Support Form: This form helps NCOs and their raters track performance objectives and goals. It serves as a guide for completing the evaluation report.
  • California Employment Verification Form: This document plays a crucial role in confirming employment history and status, particularly for various processes such as background checks and loan applications. For more information, refer to https://templates-guide.com/california-employment-verification-template/.
  • DA Form 11-2: This is the Army Regulation Compliance Checklist. It ensures that all required documentation and regulations are followed during the evaluation process.

These forms and documents work together to create a thorough evaluation process for NCOs. They help ensure that assessments are fair, comprehensive, and in line with Army standards. Understanding each document's purpose can greatly enhance the evaluation experience for both raters and rated NCOs.

Common mistakes

  1. Incorrect Personal Information: Many individuals fail to provide accurate personal details, such as their full name, Social Security Number (SSN), or DOD ID Number. This can lead to significant delays in processing the evaluation report.

  2. Missing Dates: It is crucial to include specific dates for the period covered by the evaluation. Omitting these dates can create confusion about the evaluation timeline and may result in the form being returned for correction.

  3. Improper Email Addresses: Using personal email addresses instead of the required .gov or .mil addresses for the rater, senior rater, and supplementary reviewer can cause communication issues. Always ensure that the correct email format is used.

  4. Failure to Sign: Some individuals neglect to sign the form, particularly in the RATED NCO section. A signature is necessary to confirm that the individual has reviewed the report and agrees that the administrative data is accurate.

  5. Incomplete Duty Description: The duty description section must be filled out thoroughly. Leaving out important details about daily duties, areas of special emphasis, or appointed duties can lead to misunderstandings about the NCO's role and performance.

  6. Neglecting Comments: Providing insufficient or vague comments in the evaluation sections can weaken the report. Clear, specific feedback is essential for a comprehensive evaluation of the NCO's performance and potential.

Dos and Don'ts

When filling out the DA 2166-9-1 form, it is important to follow certain guidelines to ensure accuracy and completeness. Here are seven things you should and shouldn’t do:

  • Do double-check all personal information for accuracy.
  • Don’t leave any sections blank unless specifically instructed to do so.
  • Do use clear and concise language when describing duties and responsibilities.
  • Don’t use abbreviations that may not be understood by all readers.
  • Do ensure that all signatures are obtained before submission.
  • Don’t forget to include any necessary attachments or enclosures.
  • Do review the completed form with a trusted colleague for additional feedback.