Fill a Valid Da 2166 9 1 Template Open Editor Here

Fill a Valid Da 2166 9 1 Template

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 important administrative data, performance evaluations, and potential assessments of NCOs, ensuring a comprehensive review of their service. Completing this form accurately is crucial for maintaining personnel records and supporting career advancement; fill it out by clicking the button below.

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Form Overview

Fact Name Description
Form Purpose The DA 2166-9-1 form is used for evaluating the performance of Non-Commissioned Officers (NCOs) in the U.S. Army.
Governing Regulations This form is governed by Army Regulation (AR) 623-3 and DA Pamphlet (PAM) 623-3.
Privacy Act Compliance The form includes a Privacy Act Statement to protect personal information of the individuals involved.
Administrative Data Part I of the form collects essential administrative data, including the NCO's name, SSN, rank, and unit information.
Rater Information Part II requires information about the rater and senior rater, including their names, ranks, and signatures.
Performance Evaluation Part IV assesses the NCO's performance across various attributes, such as character, presence, and leadership.
Signature Acknowledgment The NCO must sign the form, acknowledging that they have seen the completed report and understand the appeals process.
Supplementary Review A supplementary reviewer may be included, providing additional comments and insights on the NCO's performance.
Overall Potential Assessment Part V allows the senior rater to assess the NCO's overall potential compared to peers, using a rating scale.
Enclosure Requirement The form allows for the inclusion of enclosures, which may provide additional documentation relevant to the evaluation.

Common Questions

  1. What is the DA 2166 9 1 form?

    The DA 2166 9 1 form is an NCO Evaluation Report specifically designed for the evaluation of Non-Commissioned Officers (NCOs) at the rank of Sergeant (SGT). This form is utilized within the U.S. Army to assess the performance and potential of NCOs, providing a structured way to document their achievements and areas for improvement.

  2. Who is responsible for filling out the DA 2166 9 1 form?

    The responsibility for completing the DA 2166 9 1 form lies primarily with the rater, who is usually the immediate supervisor of the rated NCO. Additionally, the senior rater, who is typically a higher-ranking officer, must also provide input and sign the form. The rated NCO has a role in verifying the accuracy of the information provided, although their signature does not imply agreement with the evaluations.

  3. 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 the rated NCO's name, Social Security Number (or DOD ID), rank, date of rank, unit information, and the period covered by the evaluation. It also requires the rater and senior rater’s details, such as their names, ranks, and email addresses. This section ensures that the evaluation is properly documented and linked to the correct individual.

  4. What does the performance evaluation section entail?

    In Part IV of the DA 2166 9 1 form, the rater evaluates the rated NCO's performance across several categories, including character, presence, intellect, leadership, development, and achievement. Each category requires a rating of "MET" or "DID NOT MEET STANDARD," along with comments that provide context for the ratings. This section is crucial as it summarizes the NCO's performance and adherence to Army values and standards.

  5. How does the appeals process work?

    The rated NCO has the right to appeal the evaluation if they believe it is inaccurate or unfair. The appeals process is outlined in AR 623-3, which governs NCO evaluations. The rated NCO must follow the established procedures to formally contest the evaluation, and it is advisable to gather supporting documentation to strengthen their case.

  6. What is the significance of the senior rater's input?

    The senior rater's assessment is vital as it provides an additional layer of oversight and evaluation. This individual offers a broader perspective on the rated NCO's performance compared to others in the same grade. Their evaluation can significantly impact the NCO's career progression, as it reflects their potential for future assignments and responsibilities.

  7. What are the potential outcomes of the evaluation?

    Upon completion of the evaluation, the rated NCO can receive one of several potential ratings regarding their overall performance and potential. These include "MOST QUALIFIED," "HIGHLY QUALIFIED," "QUALIFIED," and "NOT QUALIFIED." These ratings play a critical role in determining future assignments, promotions, and career development opportunities within the Army.

  8. What should be included in the duty description?

    Part III of the form requires a detailed duty description, including the principal duty title, daily responsibilities, and any appointed duties. It is essential to provide a clear overview of the NCO's role, the scope of their responsibilities, and any special areas of emphasis. This section helps to contextualize the performance evaluation and highlights the NCO's contributions to their unit.

  9. How is the DA 2166 9 1 form submitted?

    The completed DA 2166 9 1 form must be submitted through the appropriate channels within the Army. Typically, this involves the rater forwarding the form to the senior rater for review and signature. Once signed, it is then submitted to the relevant personnel office for inclusion in the rated NCO's official records. Timely submission is crucial to ensure that evaluations are processed efficiently and accurately.

Documents used along the form

The DA Form 2166-9-1 is an essential document used in the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. To ensure a comprehensive evaluation process, several other forms and documents are often utilized alongside it. Here are a few important ones:

  • DA Form 4856: This is the Developmental Counseling Form. It is used to document counseling sessions between a leader and a soldier. The form captures discussions about performance, personal goals, and areas for improvement, providing a foundation for the evaluation process.
  • Power of Attorney for a Child Form: If you're looking to ensure your child's welfare in your absence, consider the essential Power of Attorney for a Child documentation which allows guardians to make crucial decisions on behalf of minors.
  • DA Form 1059: Known as the Academic Evaluation Report, this form records a soldier's performance in military schools or training programs. It assesses the soldier's academic achievements and is often referenced during evaluations to gauge their educational progress.
  • DA Form 67-9: This is the NCO Evaluation Report. It serves a similar purpose to the DA Form 2166-9-1 but is specifically for higher-ranking NCOs. It provides a comprehensive assessment of leadership capabilities and potential for advancement.
  • DA Form 4187: This is the Personnel Action Form. It is used to document various personnel actions, such as promotions, reassignments, or disciplinary actions. The information on this form can impact an NCO's evaluation and career trajectory.

Using these forms in conjunction with the DA Form 2166-9-1 helps create a well-rounded view of an NCO's performance and potential. Each document serves a specific purpose, contributing to a thorough evaluation process that supports the professional development of soldiers in the Army.

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

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

Common mistakes

Filling out the DA 2166-9-1 form can be a daunting task, and it’s easy to make mistakes that could affect the evaluation process. One common error is failing to provide complete and accurate personal information in Part I. This includes the name, Social Security Number (SSN), and rank. Missing or incorrect data can lead to delays and complications, so double-checking this section is crucial.

Another mistake often seen is neglecting to specify the correct reason for submission. This detail is important as it helps clarify the context of the evaluation. Whether it’s for a routine evaluation or a specific situation, clearly stating this can make a significant difference in how the report is processed.

Many individuals overlook the importance of the counseling dates in Part II. These dates should reflect when the rated NCO received feedback. Inaccurate or missing dates can create confusion and may lead to questions about the evaluation’s validity. It’s essential to ensure that these dates are correct and clearly noted.

Another frequent error is not including the rated NCO’s email address. This is a simple yet vital piece of information that ensures communication remains open. A missing email could hinder the process, especially if follow-up is needed.

In Part III, the duty description often lacks detail. Providing a thorough account of daily duties and areas of special emphasis is critical. This section should accurately reflect the rated NCO's responsibilities, as it plays a key role in the evaluation of their performance.

When filling out the performance evaluation in Part IV, some evaluators fail to provide specific comments. Simply marking "MET" or "DID NOT MEET STANDARD" without elaboration does not give a complete picture. Detailed feedback is necessary for a fair assessment and helps the rated NCO understand their strengths and areas for improvement.

Additionally, the overall performance ratings can sometimes be inconsistent with the comments provided. It’s important to ensure that the ratings align with the feedback given throughout the evaluation. Discrepancies can raise questions and may undermine the credibility of the report.

Another mistake is not listing two successive assignments and one broadening assignment in the senior rater section. This information is vital for assessing the rated NCO's potential compared to peers. Omitting this detail can limit the evaluation’s effectiveness.

Lastly, failing to sign and date the form properly can lead to administrative issues. Each section requires signatures and dates to confirm that the information is accurate and has been reviewed. Ensuring that all signatures are present and correctly dated will help avoid unnecessary complications.

Similar forms

  • DA Form 2166-9-2: This form is used for evaluating staff sergeants and sergeants first class. Like the DA 2166-9-1, it includes sections for administrative data, performance evaluations, and authentication by raters and senior raters.

  • ATV Bill of Sale: The New York ATV Bill of Sale form is essential for documenting the transfer of ownership of an ATV. For those looking to create this important document, you can find a template at My PDF Forms.
  • DA Form 67-9: This is the Officer Evaluation Report (OER) for commissioned officers. Similar to the DA 2166-9-1, it assesses an officer's performance and potential, providing a structured format for feedback and evaluation.

  • DA Form 1059: This form is used for evaluation of non-degree granting courses. It shares the purpose of providing feedback on performance, though it focuses on educational achievements rather than military duties.

  • DA Form 4856: This is the Developmental Counseling Form. While it serves a different function, it also documents performance and development, and requires signatures from both the counselor and the individual being counseled.

  • DA Form 2166-9-1A: This is an addendum to the NCO Evaluation Report, allowing for additional comments and clarifications. It complements the DA 2166-9-1, ensuring comprehensive feedback.

  • DA Form 7420: This form is used for the Army's Non-Commissioned Officer Evaluation Report (NCOER) appeal process. It serves a similar purpose by allowing NCOs to formally contest their evaluations.

  • DA Form 705: This is the Army Physical Fitness Test Scorecard. While it focuses specifically on physical fitness, it is included in the evaluation process, similar to how the DA 2166-9-1 incorporates fitness data.

  • DA Form 4187: This is a Personnel Action form that documents changes in a soldier's status. It shares the administrative aspect of the DA 2166-9-1, requiring detailed information about the individual.

  • DA Form 3508: This form is used for evaluating the performance of Army Reserve soldiers. Like the DA 2166-9-1, it provides a structured format for assessing performance and potential.

  • DA Form 3349: This is the Physical Profile Form, which documents a soldier's medical fitness for duty. It is similar in that it impacts evaluations and must be considered in performance assessments.

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