Fill Out a Valid Da 2166 9 1 Form

Fill Out a Valid Da 2166 9 1 Form

The DA 2166-9-1 form is an essential tool used for evaluating Non-Commissioned Officers (NCOs) in the U.S. Army, specifically for the rank of Sergeant. This form captures vital information about the NCO's performance, including their duties, attributes, and overall potential, helping to ensure that evaluations are thorough and standardized. Understanding how to accurately complete this form is crucial for both the rater and the rated NCO, as it plays a significant role in career progression and development within the military.

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The DA Form 2166-9-1 is a crucial document in the evaluation process for Non-Commissioned Officers (NCOs) in the U.S. Army, specifically designed for the rank of Sergeant. This form serves as a comprehensive evaluation report, capturing essential information about an NCO's performance, potential, and overall contributions to their unit. It includes administrative data such as the NCO's name, Social Security Number, rank, and unit details, ensuring that all evaluations are accurately attributed. The form consists of multiple sections, each focusing on different aspects of the NCO's duties and responsibilities. From assessing daily tasks and special emphasis areas to evaluating professionalism and leadership qualities, the DA Form 2166-9-1 provides a structured approach to performance appraisal. Additionally, it requires signatures from both the rater and senior rater, affirming the authenticity of the evaluation and the acknowledgment of the rated NCO. Notably, the form also includes sections dedicated to physical fitness and adherence to Army values, making it a holistic tool for assessing an NCO's effectiveness and readiness for future assignments. Understanding this form is essential for NCOs and their leaders, as it plays a significant role in career progression and development within the Army.

Dos and Don'ts

When filling out the DA 2166-9-1 form, attention to detail is crucial. Here are ten important dos and don’ts to ensure accuracy and compliance.

  • Do double-check all personal information, including name and SSN.
  • Do use the correct email address format (.gov or .mil) for all entries.
  • Do ensure the dates are in the proper format (YYYYMMDD).
  • Do confirm that the period covered is accurately reflected.
  • Do provide clear and concise descriptions in the duty section.
  • Don't leave any fields blank unless specifically instructed.
  • Don't use abbreviations that may not be understood by all reviewers.
  • Don't forget to sign and date the form where required.
  • Don't submit the form without reviewing it for errors.
  • Don't overlook the importance of counseling dates; they must be accurate.

Completing this form correctly is essential for proper evaluation. Take your time and ensure every section is filled out completely and accurately.

Key takeaways

The DA Form 2166-9-1 is an essential document used for the evaluation of Non-Commissioned Officers (NCOs) in the U.S. Army. Here are some key takeaways regarding its completion and usage:

  • Accurate Information: Ensure that all administrative data in Part I is filled out correctly, including name, SSN, rank, and unit information.
  • Submission Reasons: Clearly indicate the reason for submission, as it can affect the evaluation process.
  • Rater and Senior Rater: The signatures of both the rater and senior rater are crucial. Their assessments carry significant weight in the evaluation.
  • Duty Description: In Part III, provide a detailed account of the NCO's daily duties, areas of special emphasis, and any appointed duties.
  • Performance Evaluation: Part IV requires a thorough evaluation of the NCO’s performance in various areas such as character, presence, and intellect.
  • APFT Details: Include the results of the Army Physical Fitness Test (APFT) and ensure comments are provided for any failures or profiles.
  • Signature Acknowledgment: The rated NCO’s signature does not imply agreement with the evaluation but confirms the accuracy of the administrative data.
  • Counseling Dates: Document all counseling dates accurately, as this shows the progression of the NCO’s development.
  • Senior Rater Assessment: The senior rater must provide a comparative assessment of the NCO’s potential against peers.
  • Broadening Assignments: When filling out the senior rater section, include two successive assignments and one broadening assignment to illustrate the NCO’s career trajectory.

Understanding these key points can help ensure that the DA Form 2166-9-1 is completed effectively, reflecting the NCO’s performance and potential accurately.

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Example - 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

Misconceptions

Here are four common misconceptions about the DA 2166-9-1 form, along with clarifications for each.

  • Misconception 1: The form is only for annual evaluations.
  • This is incorrect. The DA 2166-9-1 form can be used for various evaluation periods, not just annual ones. It is important to submit this form whenever there is a need for a performance assessment, regardless of the time frame.

  • Misconception 2: Only the rater can provide input on the evaluation.
  • While the rater plays a significant role, the rated NCO also contributes by providing their signature and verifying the accuracy of the administrative data. This ensures that all parties involved have a clear understanding of the evaluation process.

  • Misconception 3: The rated NCO's signature indicates agreement with the evaluation.
  • This is misleading. The signature of the rated NCO does not imply agreement or disagreement with the assessment. It simply confirms that they have reviewed the report and that the administrative data is correct.

  • Misconception 4: The form is only relevant for specific ranks.
  • This is false. The DA 2166-9-1 form applies to all NCOs, regardless of their rank. It serves as a standardized method for evaluating performance and potential across various levels within the Army.

Similar forms

  • DA Form 2166-9-2: This form is similar to the DA 2166-9-1 as it serves as a Noncommissioned Officer Evaluation Report but is intended for the SFC (Sergeant First Class) rank. Both documents require similar administrative data, performance evaluations, and signatures from raters and senior raters, ensuring a consistent evaluation process across different ranks.

  • DA Form 67-9: The DA 67-9 is used for officer evaluations and shares many structural similarities with the DA 2166-9-1. Both forms require information about the individual’s duties, performance assessments, and feedback from superiors. This ensures that evaluations are standardized across both enlisted and officer ranks.

  • DA Form 4856: This form is a Developmental Counseling Form that also includes sections for documenting performance and future goals. Like the DA 2166-9-1, it requires signatures from both the counselor and the individual being counseled, emphasizing accountability and acknowledgment of performance discussions.

  • DA Form 2166-8: This is the Noncommissioned Officer Evaluation Report for the rank of E-5 and below. It mirrors the DA 2166-9-1 in terms of structure and purpose, focusing on evaluating performance and potential, ensuring that all NCOs receive thorough and consistent assessments regardless of their rank.