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The DA 2166-9-1 form plays a crucial role in the evaluation of non-commissioned officers (NCOs) in the United States Army. This form is primarily used for the NCO Evaluation Report for members holding the rank of Sergeant. It captures essential administrative data, such as the NCO's name, Social Security Number, rank, and duty assignments. Importantly, it also details the reporting period and the reason for submission as part of the overall assessment process. The evaluation consists of multiple parts, including authentication by the rater and senior rater, which ensures accountability in the evaluation process. The rater assesses various performance areas, ranging from professional attributes to leadership capabilities. These assessments culminate in an overall performance rating that reflects the NCO’s potential and readiness for future assignments. Alongside the performance evaluation, significant components such as the Army Physical Fitness Test (APFT) results and compliance with height and weight standards are documented, providing a comprehensive view of the NCO’s performance and adherence to Army values. Understanding the nuances and requirements of the DA 2166-9-1 form is essential for both evaluating personnel effectively and fostering career development within the Army ranks.

Da 2166 9 1 Example

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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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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

 

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APD PE v1.00ES

Form Characteristics

Fact Name Description
Form Purpose The DA 2166-9-1 form is used for the NCO Evaluation Report for Sergeants in the U.S. Army.
Governing Regulations This form is guided by AR 623-3 and DA PAM 623-3.
Privacy Statement There is a Privacy Act Statement included in AR 623-3 related to this form.
Part I Components Part I requires administrative data such as name, rank, and contact information.
Authentication Requirements Part II includes the names, signatures, and email addresses of both the rater and senior rater.
Performance Evaluation Part IV evaluates various attributes like character, presence, and intellect.
Counseling Dates Counseling dates are recorded by the rated NCO to confirm they have received feedback.
Overall Potential Assessment Part V allows the senior rater to assess the rated NCO's potential for future assignments.

Guidelines on Utilizing Da 2166 9 1

After obtaining and reviewing the DA Form 2166-9-1, it's essential to correctly fill it out for evaluation purposes. This form primarily serves as an evaluation report for Non-Commissioned Officers (NCOs). Accuracy in your submission affects assessments of performance, potential, and overall duty effectiveness.

  1. Part I - Administrative Data
    • Enter the last name, first name, and middle initial of the rated NCO in the name field.
    • Add the Social Security Number (SSN) or Department of Defense (DOD) ID Number.
    • Specify the NCO's rank.
    • Fill in the date of rank.
    • Indicate the Primary Military Occupational Specialty Code (PMOSC).
    • Provide the unit, organization, station, ZIP code, or APO, as well as the major command.
    • Choose the status code.
    • Complete the Unit Identification Code (UIC).
    • State the reason for submission.
    • Input the period covered by the evaluation, specifying start and end dates.
    • Fill in the rated months and non-rated codes.
    • Count the number of enclosures included.
    • Provide the rated NCO's government or military email address.
  2. Part II - Authentication
    • Enter the name of the rater in the same format as above.
    • Add the rater's SSN or DOD ID Number.
    • Sign the form in the designated signature space.
    • Input the date of signature using the YYYYMMDD format.
    • Provide the rank, PMOSC/branch, organization, and duty assignment of the rater.
    • Add the rater's government or military email address.
    • Include the name and other details of the senior rater similarly.
    • Indicate if a supplementary review was required, and if so, fill in the supplementary reviewer’s details.
    • Each party should sign where indicated, along with the date of signature.
  3. Part III - Duty Description
    • Specify the principal duty title of the rated NCO.
    • Indicate the Duty Military Occupational Specialty Code (MOSC).
    • Describe daily duties and scope, including responsibilities over people, equipment, and budgets.
    • Include areas of special emphasis for the NCO.
    • List any appointed duties.
  4. Part IV - Performance Evaluation
    • Document the results of the Army Physical Fitness Test (APFT), including the date.
    • Record the rated NCO's height and weight, noting if they meet standards.
    • Comment on the character of the rated NCO, specifically relating to Army values and discipline.
    • Rate presence, intellect, leadership, development, and achievement, providing comments for each aspect.
    • Conclude with an overall performance assessment from the rater's perspective.
  5. Part V - Senior Rater Overall Potential
    • Select a box representing the rated NCO's potential relative to others in the same grade.
    • Add additional comments regarding the rated NCO's potential.
    • List two successive assignments and one broadening assignment in the specified format.

Upon completing the form, ensure that all parts are filled out accurately. Review the document for any errors or omissions before submission. Then, submit the completed DA Form 2166-9-1 to the relevant authority for evaluation. Proper completion and submission contribute significantly to effective personnel management within the military framework.

What You Should Know About This Form

What is the purpose of the DA 2166 9 1 form?

The DA 2166 9 1 form is used to evaluate the performance of Non-Commissioned Officers (NCOs) at the rank of Sergeant. This evaluation provides a structured means to assess an NCO's effectiveness, leadership, and potential for future assignments within the Army.

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

The responsibility for completing the form lies primarily with the rater, who is typically the immediate supervisor of the rated NCO. The senior rater, often a higher-level supervisor, is also involved in the evaluation process to provide a broader perspective on the NCO's performance.

What information is required in Part I of the form?

Part I collects administrative data about the rated NCO, including their name, Social Security Number or DOD ID, rank, date of rank, and organization details. Additional details like the reason for submission and the evaluation period must also be included.

What does the Rated NCO need to understand regarding their signature?

The Rated NCO's signature verifies that all administrative data is correct and that they have seen the completed report. However, it does not indicate agreement with the evaluations made by the rater or senior rater. The Rated NCO should also be aware of the appeals process outlined in AR 623-3.

How are performance evaluations carried out in Part IV?

Part IV includes several categories such as character, presence, intellect, leads, develops, and achieves. The rater evaluates each category as "met" or "did not meet standard," supported by comments that provide specific feedback regarding the NCO's performance in these areas.

What is the significance of the Senior Rater's comments?

The Senior Rater's comments are crucial as they provide an overall assessment of the rated NCO's potential compared to others in the same grade. This includes selecting a classification of the NCO's potential, which can influence future assignments and career advancement.

Are there any privacy concerns related to the DA 2166 9 1 form?

Yes, the form contains sensitive personal information, such as the NCO's Social Security Number. Therefore, it is essential to handle the form in accordance with the Privacy Act of 1974, ensuring that information is kept confidential and secure.

Can the DA 2166 9 1 form be appealed?

Yes, there is an appeals process available for Rated NCOs who disagree with their evaluation. This process is outlined in AR 623-3 and allows for the review of the evaluation if the NCO believes there are valid grounds for an appeal.

How often should the DA 2166 9 1 form be completed?

The DA 2166 9 1 form should be completed at the end of the evaluation period designated for the NCO, typically annually or when there is a change in duty assignments. Consistent evaluations help maintain an accurate account of the NCO's performance over time.

Common mistakes

When completing the DA 2166-9-1 form, many individuals make common mistakes that can lead to significant issues down the line. Understanding these mistakes is essential for ensuring that the evaluation report is accurate and serves its intended purpose.

One prevalent error occurs in the administrative data section. Here, the failure to correctly input names or Social Security Numbers (SSNs) can render the document invalid. Individuals might switch the order of names or accidentally transpose digits in SSNs. These inaccuracies could cause delays in processing the report or even lead to the rejection of the submission.

Another frequent mistake is omitting required sections or leaving them incomplete. For instance, sections such as the period covered and reason for submission are critical for the report's context. When these areas are not filled out completely, it raises questions about the report's validity, potentially impacting decisions based on the evaluations.

Additionally, signatures and dates often pose challenges. The authentication section requires the rater and senior rater to provide their signatures and relevant dates. People sometimes neglect to ensure that all electronic signatures meet the requirements for date formatting or, worse, forget to sign entirely. This can result in interpretations of the form being incomplete or improperly vetted.

Errors in performance evaluation descriptions are also common. The performance evaluation sections are designed to capture specific details regarding an NCO's capabilities, achievements, and overall leadership qualities. Some may fail to provide sufficient evidence or clarity about these competencies, leading to a misrepresentation of the NCO’s actual performance. This happens when evaluators use vague language or general observations instead of addressing the key attributes expected in the evaluation.

Lastly, misunderstanding the submission guidelines contributes to errors. The end-of-report instructions must be closely adhered to, especially regarding attachments. Incorrectly identifying the number of enclosures, or forgetting to attach supporting documentation, can result in incomplete evaluations. This oversight can hinder proper review processes, impacting the overall effectiveness of the NCO evaluation.

Documents used along the form

The DA 2166-9-1 form, used primarily for evaluating Non-Commissioned Officers, is just one part of the performance review process within the military. Several other forms and documents are commonly used to support and complement the evaluation process. Understanding these documents can provide clarity and ensure a comprehensive review of an NCO's performance, potential, and professional growth.

  • DA Form 5439: This form is known as the "Enlisted Evaluation Report." It serves a similar purpose as the DA 2166-9-1, but it is specifically tailored for enlisted personnel and provides a framework for assessing their performance and potential in various roles.
  • DA Form 4856: This is the "Developmental Counseling Form." It documents counseling sessions between leaders and soldiers, focusing on their development, performance issues, and goals. Regular use of this form helps track progress and identifies areas needing improvement.
  • DA Form 87: Also known as the "Certificate of Training," this document records completion of specific military courses or training programs. It provides evidence of the skill sets and competencies the soldier possesses and contributes to the overall evaluation.
  • DA Form 705: This is the "Army Physical Fitness Test Scorecard." It records physical fitness test results, which are important indicators of an NCO’s physical readiness and overall performance within their evaluation.
  • DA Form 5500/5501: These are the "Body Fat Content Worksheets." They are used to determine compliance with Army body fat standards. This form assists in maintaining physical fitness and helps measure compliance, which is an essential aspect of performance evaluations.
  • DD Form 214: The "Certificate of Release or Discharge from Active Duty" is often referenced during evaluations. It provides a summary of the service member's career, including years of service, awards, and discharge details, which can contribute to a comprehensive assessment of their performance.
  • AR 623-3 and DA PAM 623-3: Although not forms, these Army regulations and pamphlets provide essential guidelines for performance evaluation and counseling processes. They outline procedures, expectations, and rights regarding evaluations and appeals.

Each of these documents plays a crucial role in providing a well-rounded perspective on the performance and potential of Non-Commissioned Officers. Familiarity with these forms not only aids in conducting thorough evaluations but also enhances communication and development discussions between leaders and soldiers.

Similar forms

The DA Form 2166-9-1 is an NCO Evaluation Report used to assess non-commissioned officers' performance. Several other documents serve similar purposes in evaluating personnel. Below is a list of these forms and how they compare to the DA Form 2166-9-1:

  • DA Form 2166-9-2: This form is specifically for evaluating staff sergeants and sergeants first class. Like the DA Form 2166-9-1, it includes sections for administrative data and performance evaluation, but it is applicable for different ranks.
  • DA Form 703: This form is used for conducting Army Physical Fitness Test evaluations. Both documents assess individual performance; however, the DA Form 703 focuses specifically on physical fitness, while the DA Form 2166-9-1 examines overall job performance and leadership.
  • DA Form 4856: This form is a developmental counseling form that provides an official record of counseling sessions. Similar to the DA Form 2166-9-1, it captures feedback on performance but serves a more formative role rather than a formal evaluation.
  • DA Form 4970: This is a record for assessing Soldier Readiness. Both forms require documentation of a soldier's overall performance, but the DA Form 4970 places emphasis on medical readiness and compliance rather than job performance.
  • EPW (Evaluation Program Workbook): This is used for documenting the evaluations issued under the Army’s Evaluation Reporting System. Its goal is to compile evaluations similar to those in the DA Form 2166-9-1 but focuses on a broader range of evaluation cycles.
  • DA Form 1009: This form is related to an officer's evaluation during their yearly reviews. The similarity arises in assessing leadership qualities, but it pertains to officer ranks, contrasting with the NCO focus of the DA Form 2166-9-1.
  • DA Form 3355: This form is for tracking promotions and reducing non-commissioned officers. While it shares a purpose of documenting personnel evaluations, it significantly differs in focus, dealing mainly with career progress instead of comprehensive performance evaluation.
  • DA Form 7120: Used for documenting and tracking accomplishments and assignments over time. While both forms collect performance-related data, the DA Form 7120 is primarily focused on historical tracking of achievements rather than current performance evaluations.

Dos and Don'ts

When filling out the DA 2166 9 1 form, there are important dos and don’ts to keep in mind. Properly completing this form ensures a smooth evaluation process and reflects the professionalism of the NCO.

  • Do double-check all fields for accuracy before submission.
  • Do ensure all required signatures are obtained in Part II.
  • Do provide clear and specific comments in the performance evaluation sections.
  • Do familiarize yourself with the appeals process outlined in AR 623-3.
  • Don't leave any mandatory fields blank; this can delay the evaluation.
  • Don't use informal language or abbreviations in the comments sections.
  • Don't overlook the importance of accurate Rater and Senior Rater information.
  • Don't forget to keep a copy of the completed form for your records.

Misconceptions

Misconceptions about the DA 2166-9-1 form can lead to confusion and mismanagement in the evaluation process. Here are ten common misconceptions, along with their explanations.

  • The form is only used for annual evaluations. In reality, the DA 2166-9-1 is utilized for various evaluations, not strictly on an annual basis. It may be required for other reasons, such as duty performance reviews, promotion boards, or other administrative actions.
  • Only the rater completes the form. This is incorrect. While the primary responsibility for filling out the form lies with the rater, input from the senior rater and the rated NCO is also essential for a comprehensive evaluation.
  • Rated NCOs must agree with their evaluations. The signature of a rated NCO indicates acknowledgment of the evaluation but does not imply agreement with the rater’s assessments. This is explicitly stated on the form.
  • Comments are optional in the performance evaluation sections. Comments are not optional. Raters are encouraged to provide specific feedback and examples to justify their ratings across various areas.
  • The form is only for lower-ranked personnel. The DA 2166-9-1 can be used for evaluations across different ranks. Its design accommodates various levels of NCOs, including Sergeants and higher ranks.
  • Submission of the form guarantees a certain outcome. Completion of the form does not assure promotions or favorable results. It is just one part of the overall evaluation process that contributes to decision-making.
  • Performance evaluations are confidential and cannot be reviewed by rated NCOs. Rated NCOs have the right to review their evaluations as part of the appeals process. Transparency is a key element of the evaluation system.
  • The DA 2166-9-1 form does not require signatures. Signatures from the rater, senior rater, and rated NCO are mandatory. These signatures validate the contents of the report and form part of the evaluation process.
  • The evaluation process is entirely subjective. While personal evaluations can involve subjective opinions, the form includes specific criteria and standards that aim to provide an objective assessment of performance.
  • Corrections on the form are not allowed after submission. Mistakes can be corrected, but the process requires following specific protocols. It is important to address any discrepancies promptly to ensure accuracy.

Key takeaways

Filling out and using the DA 2166 9 1 form involves several key steps and considerations. Here are the main points to remember:

  • Personal Information: Complete all personal information fields in Part I. This includes name, SSN, rank, and unit information.
  • Submission Reasons: Clearly indicate the reason for submission in the designated section. This helps provide context for the evaluation.
  • Authentication: Ensure that all rating officials, including the rater and senior rater, sign and date the form. This validates the evaluation.
  • Rater's Comments: The rater should provide specific comments in the performance evaluation sections. These comments should be constructive and directly related to the rated NCO’s behavior and performance.
  • Height and Weight: Fill in height and weight information accurately. This is crucial for compliance with Army regulations regarding physical fitness standards.
  • Counseling Dates: Record all counseling dates accurately. This demonstrates that the rated NCO received proper guidance throughout the evaluation period.
  • Supplementary Review: If a supplementary review is required, ensure that all relevant information and signatures are included. This provides an additional layer of oversight.
  • Final Verification: Before submitting, the rated NCO must verify the accuracy of all information, including administrative details and duty descriptions.
  • Understanding the Appeals Process: Familiarize yourself with the appeals process outlined in AR 623-3. Awareness of this process is essential for addressing any concerns.

By keeping these takeaways in mind, you will be better prepared to complete the DA 2166 9 1 form accurately and effectively.