Fill in Your Da 2166 9 1 Template Get Document Here

Fill in Your Da 2166 9 1 Template

The DA Form 2166-9-1 is an essential document used for the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. This form captures important administrative data, performance evaluations, and overall potential assessments, ensuring that each NCO's contributions are accurately documented. For those looking to fill out this form, please click the button below.

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Key takeaways

Filling out the DA 2166-9-1 form can seem daunting, but understanding its key components makes the process smoother. Here are some essential takeaways to keep in mind:

  • Accurate Information is Crucial: Ensure that all personal details, such as name, SSN, and rank, are entered correctly. Mistakes can lead to delays or issues with the evaluation.
  • Understand the Purpose: This form serves as an NCO Evaluation Report for Sergeants, providing a comprehensive overview of performance and potential.
  • Know the Required Dates: Fill in the period covered by the evaluation accurately. This includes start and end dates, which are essential for tracking performance over time.
  • Rater and Senior Rater Roles: The form requires signatures from both the rater and the senior rater. Each plays a crucial role in assessing the NCO's performance.
  • Performance Evaluation Sections: Pay close attention to the areas of evaluation, such as character, presence, intellect, leadership, development, and achievement. These sections require specific comments based on observed behaviors.
  • Be Mindful of Counseling Dates: Document the initial and any subsequent counseling dates accurately. This shows that the NCO has received feedback and guidance throughout the evaluation period.
  • Use of Email Addresses: Include the email addresses for the rater, senior rater, and supplementary reviewer. This facilitates communication and verification.
  • Supplementary Review: If applicable, ensure that the supplementary reviewer’s information is filled out completely. Their input can provide additional insights into the NCO’s performance.
  • Signature Acknowledgment: The rated NCO must understand that their signature does not indicate agreement with the evaluation but confirms the accuracy of the administrative data and awareness of the appeals process.

By keeping these points in mind, you can navigate the DA 2166-9-1 form with confidence and ensure that the evaluation process is thorough and effective.

Dos and Don'ts

When filling out the DA 2166-9-1 form, consider the following guidelines to ensure accuracy and compliance.

  • Do provide accurate personal information, including your name, SSN, and rank.
  • Do ensure that all dates are formatted correctly (YYYYMMDD).
  • Do double-check the duty description for completeness and clarity.
  • Do confirm that all email addresses provided are valid (.gov or .mil).
  • Do review the performance evaluation section thoroughly before submission.
  • Don't leave any required fields blank; every section must be filled out.
  • Don't use abbreviations or jargon that may confuse the reviewers.
  • Don't forget to sign and date the form where required.
  • Don't submit the form without ensuring all enclosures are attached, if applicable.

Form Overview

Fact Name Details
Form Purpose The DA 2166-9-1 form is used for the evaluation of Non-Commissioned Officers (NCOs) in the rank of Sergeant.
Governing Regulations This form is governed by Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3.
Privacy Act The form includes a Privacy Act Statement, which emphasizes the importance of protecting personal information.
Administrative Data Part I collects essential administrative data, such as name, Social Security Number (SSN), rank, and unit information.
Rater Authentication Part II requires signatures from the rater and senior rater, along with their email addresses for verification.
Performance Evaluation Part IV assesses various attributes such as character, presence, intellect, leadership, development, and achievement.
Rated NCO's Acknowledgment The rated NCO must sign to acknowledge understanding of the report's contents and the appeals process.
Overall Potential Assessment Part V includes a section for the senior rater to evaluate the NCO's potential compared to peers, with options ranging from "Most Qualified" to "Not Qualified."

Common mistakes

  1. Incomplete Personal Information: Failing to provide all necessary details, such as the full name, Social Security Number (SSN), or rank, can lead to delays or complications.

  2. Incorrect Dates: Entering the wrong dates for rank or the period covered can result in inaccurate evaluations. Double-check all date entries.

  3. Missing Email Addresses: Not including the required email addresses for the rated NCO, rater, or senior rater can hinder communication and verification processes.

  4. Improper Duty Description: Providing vague or incomplete descriptions of daily duties and areas of special emphasis can lead to misunderstandings about the NCO's responsibilities.

  5. Neglecting Counseling Dates: Failing to document the counseling dates accurately can create confusion regarding the evaluation process and expectations.

  6. Ignoring Performance Evaluation Standards: Not addressing the specific standards for performance evaluation, such as character and presence, may result in an incomplete assessment.

  7. Overlooking Signatures: Forgetting to obtain the necessary signatures from the rater, senior rater, or supplementary reviewer can invalidate the report.

  8. Failing to Review the Completed Report: Not reviewing the completed evaluation before signing can lead to agreeing to inaccuracies or omissions.

Similar forms

The DA Form 2166-9-1 is similar to the DA Form 67-9, which is the Officer Evaluation Report (OER). Both forms serve the purpose of evaluating an individual's performance within the Army. While the 2166-9-1 focuses on Non-Commissioned Officers (NCOs), the 67-9 is tailored for officers. Each form includes sections for administrative data, performance evaluations, and the signatures of the rater and senior rater. This structure ensures a consistent evaluation process across ranks, highlighting the importance of leadership and accountability in the Army.

Another related document is the DA Form 1059, which is the Academic Evaluation Report. This form evaluates soldiers who have completed training courses. Like the DA Form 2166-9-1, it assesses performance and potential, but it does so in the context of educational achievements. Both forms require input from evaluators and provide a comprehensive overview of a soldier's capabilities, reinforcing the commitment to professional development within the military.

The DA Form 4856, known as the Developmental Counseling Form, is also comparable. This document is used to document counseling sessions between a leader and a soldier. Similar to the DA Form 2166-9-1, it includes sections for goals, performance, and areas for improvement. Both forms aim to foster communication and development, ensuring that soldiers receive the guidance necessary for career advancement and personal growth.

The New York DTF-84 form is an application for Qualified Empire Zone Enterprise (QEZE) Sales Tax Certification, designed for businesses recognized by Empire State Development. This form is essential for companies that aim to receive sales tax benefits, provided they meet specific eligibility requirements. It is crucial to submit the completed form along with the necessary documentation to ensure proper processing and access to the available tax benefits. For more information, visit https://nytemplates.com.

The DA Form 7000, which is the Army’s Financial Liability Investigation of Property Loss, shares a focus on accountability. Although it deals with financial matters rather than performance, both forms require detailed information and signatures from responsible parties. They emphasize the importance of maintaining standards and taking responsibility for one's actions within the Army.

The DA Form 4187, or the Personnel Action form, is another document that has similarities with the DA Form 2166-9-1. While the 4187 is used for various personnel actions, such as promotions or transfers, it also requires detailed information about the soldier's background and performance. Both forms contribute to the soldier's career trajectory and reflect the Army’s commitment to maintaining accurate records and evaluations.

Additionally, the DA Form 7500, the Army Training Requirements and Resources System (ATRRS) Enrollment Form, is relevant. This form tracks soldiers' training and development opportunities. Like the DA Form 2166-9-1, it aims to enhance a soldier's skills and qualifications, ensuring that they are prepared for future challenges. Both documents play a vital role in the professional development of Army personnel.

Lastly, the DA Form 11-2, which is the Commander's Evaluation Report, is similar in that it evaluates the effectiveness of leaders within a unit. While the 2166-9-1 focuses on individual NCOs, the 11-2 assesses the overall command climate and leadership effectiveness. Both forms include feedback from multiple sources, highlighting the importance of comprehensive evaluations in fostering a strong and effective military environment.

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Your Questions, Answered

What is the DA 2166 9 1 form used for?

The DA 2166 9 1 form is primarily utilized for evaluating Non-Commissioned Officers (NCOs) at the rank of Sergeant (SGT). It serves as a structured method for documenting an NCO's performance, potential, and professional development over a specified period. This evaluation process is crucial for personnel management within the Army, as it influences promotions, assignments, and overall career progression.

Who is responsible for completing the DA 2166 9 1 form?

The completion of the DA 2166 9 1 form involves multiple parties. The rater, typically the immediate supervisor of the NCO being evaluated, is responsible for filling out the form. The senior rater, who is usually a higher-ranking officer, also contributes by providing an overall assessment of the NCO's potential. Additionally, a supplementary reviewer may be involved to ensure the evaluation is thorough and fair.

What information is required in Part I of the form?

Part I of the DA 2166 9 1 form collects essential administrative data. This includes:

  1. Name of the rated NCO (Last, First, Middle Initial)
  2. Social Security Number (or DOD ID Number)
  3. Rank and Date of Rank
  4. Primary Military Occupational Specialty Code (PMOSC)
  5. Unit or organization details, including ZIP code or APO
  6. Status code and Unit Identification Code (UIC)
  7. Reason for submission and period covered by the evaluation
  8. Rated months and non-rated codes
  9. Number of enclosures and rated NCO's email address

This information ensures that the evaluation is accurately attributed and that all relevant details are recorded.

What does Part III of the form entail?

Part III focuses on the duty description of the rated NCO. It includes:

  • Principal Duty Title
  • Duty MOSC
  • Daily duties and scope, which may cover responsibilities related to personnel, equipment, facilities, and financial management
  • Areas of special emphasis
  • Appointed duties

This section provides a comprehensive overview of the NCO's role and responsibilities, allowing for a more informed evaluation.

How is performance evaluated in Part IV?

Part IV is dedicated to assessing various performance attributes and competencies of the rated NCO. It covers aspects such as:

  • Character, including adherence to Army values and discipline
  • Presence, focusing on military bearing and confidence
  • Intellect, which encompasses mental agility and sound judgment
  • Leadership capabilities, such as trust-building and effective communication
  • Developmental contributions, like fostering a positive work environment
  • Achievement of results

Each attribute is rated as "Met," "Did Not Meet," or "Standard," allowing for a clear understanding of the NCO's performance level.

What is the significance of the rater's and senior rater's signatures?

The signatures of both the rater and senior rater on the DA 2166 9 1 form signify their agreement with the evaluations provided. The rater's signature confirms that they have accurately documented the NCO's performance and that they have conducted the necessary counseling sessions. The senior rater's signature adds an additional layer of oversight, ensuring that the evaluation aligns with broader organizational standards and expectations.

Can the rated NCO appeal their evaluation?

Yes, the rated NCO has the right to appeal their evaluation if they believe it is unjust or inaccurate. The DA 2166 9 1 form includes a statement indicating that the NCO understands the appeals process outlined in Army Regulation 623-3. It is essential for the NCO to be aware of their rights and the procedures for filing an appeal, should they feel it necessary.

What happens if an NCO fails to meet the Army's weight standards?

If an NCO fails to meet the Army's weight standards, this must be documented in the performance evaluation section of the DA 2166 9 1 form. Comments are required to explain the circumstances surrounding the failure. This documentation can impact the NCO's overall evaluation and potential for advancement, as adherence to physical fitness standards is a critical component of military service.

What is the purpose of the supplementary review?

The supplementary review serves as an additional layer of evaluation to ensure fairness and accuracy in the rating process. A supplementary reviewer assesses the evaluation to confirm that it meets established standards and provides constructive feedback. This step is vital for maintaining integrity within the evaluation system and for supporting the professional development of NCOs.

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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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