Go Law

Go Law

Homepage Download Da 2166 9 1 Form in PDF
Jump Links

The DA 2166-9-1 form is a crucial document used within the U.S. Army to evaluate the performance of Non-Commissioned Officers (NCOs) at the rank of Sergeant. This evaluation report serves multiple purposes, including assessing an NCO's professional attributes, competencies, and overall potential. The form is divided into several parts, each gathering essential information about the rated NCO, such as their name, rank, and unit details, as well as the period of evaluation. Additionally, it requires input from both the rater and senior rater, ensuring a comprehensive review of the NCO’s performance. The evaluation covers key areas such as character, presence, intellect, leadership, development, and achievement, providing a well-rounded view of the NCO's capabilities. Furthermore, the form includes sections for counseling dates and signatures, which affirm that the rated NCO has reviewed the report and understands the evaluation process. Proper completion of the DA 2166-9-1 is vital, as it impacts career progression and opportunities for advancement within the Army.

Preview - Da 2166 9 1 Form

HQDA#:

Attachments Menu

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

Document Specifics

Fact Name Fact Description
Form Purpose The DA 2166-9-1 is used for the NCO Evaluation Report for Sergeants.
Governing Regulations This form is governed by AR 623-3 and DA PAM 623-3.
Proponent Agency The proponent agency for this form is DCS, G-1.
Privacy Act Statement A Privacy Act Statement is included in AR 623-3.
Administrative Data Part I collects administrative data such as name, SSN, rank, and unit information.
Authentication Section Part II requires signatures from the rater, senior rater, and supplementary reviewer.
Performance Evaluation Part IV assesses performance in various categories like character, presence, and intellect.
Overall Performance Rating Raters provide an overall performance rating for the NCO being evaluated.
Submission Requirements The form must be completed and submitted with any required enclosures.

Da 2166 9 1: Usage Instruction

Completing the DA 2166-9-1 form requires careful attention to detail. Each section must be filled out accurately to ensure a comprehensive evaluation. Follow these steps to successfully complete the form.

  1. Begin with Part I - Administrative Data. Fill in your name (Last, First, Middle Initial), SSN (or DOD ID No.), rank, date of rank, PMOSC, unit or organization, station, ZIP code or APO, major command, status code, UIC, reason for submission, and the period covered from and through.
  2. Continue to Part II - Authentication. Enter the name of the rater (Last, First, Middle Initial), SSN (or DOD ID No.), rater's signature, date, rank, PMOSC/branch, organization, duty assignment, and rater's email address. Repeat this process for the senior rater and supplementary reviewer, if applicable.
  3. In Part III - Duty Description, provide the principal duty title, duty MOSC, daily duties and scope, areas of special emphasis, and appointed duties.
  4. Move to Part IV - Performance Evaluation. Fill in the APFT results, including pass/fail/profile date, height, weight, and whether within standard. Provide comments if necessary. Then assess character, presence, intellect, leads, develops, and achieves, marking whether each met or did not meet the standard, along with comments.
  5. In Part V - Senior Rater Overall Potential, select the box that best represents the rated NCO's potential compared to others in the same grade. Provide comments and list two successive assignments and one broadening assignment.
  6. Review the entire form for accuracy and completeness. Ensure all required signatures are obtained and dates are correctly filled in.

After completing the form, ensure it is submitted according to the required guidelines. This will help facilitate the evaluation process and maintain accurate records.

Learn More on Da 2166 9 1

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) in the rank of Sergeant. It provides a structured way to assess their duties, attributes, and overall potential within the Army.

Who should complete the DA 2166 9 1 form?

This form should be completed by the rater, who is typically the immediate supervisor of the NCO being evaluated. The senior rater, who is usually one level above the rater, also contributes to the evaluation.

What information is required in Part I of the form?

Part I collects essential administrative data, including:

  • Name of the rated NCO
  • Social Security Number or DOD ID
  • Rank and date of rank
  • Unit and organization information
  • Period covered by the evaluation

What does the rater need to include in Part III?

In Part III, the rater must provide a detailed duty description. This includes the principal duty title, daily responsibilities, areas of special emphasis, and any appointed duties. The goal is to give a clear picture of the NCO's role and contributions.

How is performance evaluated in Part IV?

Part IV assesses various attributes, including:

  • Character
  • Presence
  • Intellect
  • Leadership abilities
  • Development of others
  • Achievement of results

Each area is rated as "Met" or "Did Not Meet Standard," with comments required to support the ratings.

What is the significance of the senior rater's comments?

The senior rater provides an overall assessment of the NCO's potential compared to peers. This evaluation is crucial for decisions regarding promotions and future assignments. The senior rater also lists potential future assignments for the NCO.

What happens if the rated NCO disagrees with the evaluation?

The rated NCO can express disagreement by signing the form, which does not indicate agreement with the evaluation but confirms the accuracy of the administrative data. They can also pursue the appeals process outlined in AR 623-3.

Are there any privacy considerations with the DA 2166 9 1 form?

Yes, the form contains sensitive personal information. It is important to handle it according to the Privacy Act guidelines to protect the rated NCO's data.

Where can I find more information about the DA 2166 9 1 form?

For additional details, refer to Army Regulation 623-3 and DA Pamphlet 623-3. These documents provide comprehensive guidance on the evaluation process and the use of the DA 2166 9 1 form.

Common mistakes

Filling out the DA 2166-9-1 form can be tricky. Many people make mistakes that can lead to delays or issues with their evaluations. Here are nine common errors to watch out for.

One mistake is not providing the correct name format in the administrative data section. Ensure you list your name as Last, First, and Middle Initial. Any variation could cause confusion and might delay processing.

Another frequent error involves the Social Security Number (SSN) or DOD ID. Double-check this information. An incorrect number can lead to significant issues, including misidentification.

Many individuals forget to include the rated months in the appropriate section. This is essential for determining the evaluation period. Without this information, the form may not be processed correctly.

Omitting the email address of the rated NCO is also common. This detail is crucial for communication. Make sure to use a valid .gov or .mil address to avoid any complications.

People sometimes neglect to sign the form. The signature of the rater and senior rater is mandatory. Without these signatures, the form is incomplete and cannot be submitted.

Another mistake is failing to provide counseling dates. This section is important for documenting when the rated NCO received feedback. Missing this can create misunderstandings about the evaluation process.

Some individuals do not accurately fill out the performance evaluation sections. Each category requires specific comments. Ensure that you provide detailed feedback to support the ratings.

It’s also common to overlook the overall potential rating for the senior rater. This section is vital for summarizing the NCO's potential compared to peers. Don’t skip it!

Lastly, make sure to review the entire form before submission. Many errors can be caught with a simple double-check. Taking the time to ensure accuracy can save you from future headaches.

Documents used along the form

When completing the DA Form 2166-9-1, several other documents may be required to ensure a comprehensive evaluation process. These forms and documents provide additional context and information that can enhance the understanding of the rated NCO's performance and potential. Below is a list of commonly used forms and documents that accompany the DA Form 2166-9-1.

  • DA Form 4856: This is the Developmental Counseling Form. It is used to document counseling sessions between a supervisor and a soldier. This form helps clarify expectations and provides a record of performance discussions, which can be referenced during evaluations.
  • DA Form 1059: The Academic Evaluation Report is utilized to assess a soldier's performance during military training courses. It provides insights into the soldier's capabilities and achievements in a formal educational setting, which can be relevant for overall evaluations.
  • DA Form 67-9: This is the Officer Evaluation Report. Although primarily for officers, it may be referenced when evaluating the performance of NCOs who interact closely with officers. It provides a broader context of leadership within the unit.
  • DA Form 2166-9-2: This form is used for the evaluation of NCOs in higher ranks (E-6 and above). It may be referenced to ensure consistency in evaluations across different ranks and to provide comparative insights.
  • APFT Scorecard: This document records the results of the Army Physical Fitness Test. The scorecard is essential for evaluating the physical readiness of the rated NCO, which is a critical component of their overall performance assessment.
  • Height/Weight Record: This document verifies compliance with Army height and weight standards. It is important to include this information to ensure that the rated NCO meets the physical requirements necessary for their role.

Each of these documents plays a vital role in the evaluation process. They provide a well-rounded view of the rated NCO's performance, capabilities, and adherence to Army standards. It is essential to ensure that all relevant documents are accurately completed and submitted alongside the DA Form 2166-9-1 to facilitate a fair and thorough evaluation.

Similar forms

The DA Form 2166-9-1, which is used for evaluating non-commissioned officers (NCOs), shares similarities with the Employee Performance Appraisal Form (EPAP) used in civilian federal employment. Both documents serve as formal assessments of an individual's job performance over a specific period. They include sections for identifying the employee, the period covered, and the evaluator's observations. Just as the DA Form emphasizes military values and competencies, the EPAP focuses on job-related skills and accomplishments. The goal of both forms is to provide a structured way to evaluate performance and guide future development.

Another document akin to the DA Form 2166-9-1 is the Annual Performance Review (APR) commonly used in corporate settings. Like the DA Form, the APR assesses an employee's performance based on predetermined criteria and objectives. Both documents typically require input from multiple reviewers, ensuring a comprehensive evaluation. They also allow for employee feedback, enabling individuals to understand their strengths and areas for improvement. This process fosters professional growth and aligns individual performance with organizational goals.

The Officer Evaluation Report (OER) is yet another document that resembles the DA Form 2166-9-1. Used for commissioned officers, the OER evaluates performance and potential in a structured manner. Both forms require detailed assessments of specific competencies, such as leadership and professionalism. While the DA Form focuses on NCOs, the OER is tailored for officers, reflecting the different roles and responsibilities within the military hierarchy. Both reports aim to inform promotion decisions and career development within the armed forces.

Similarly, the Civilian Evaluation Report (CER) is comparable to the DA Form 2166-9-1 in its function of assessing employee performance in government roles. The CER provides a framework for evaluating job performance, highlighting strengths and weaknesses, much like the NCO Evaluation Report. Both documents emphasize the importance of feedback and goal-setting, ensuring that employees understand their contributions to the organization. This alignment of performance expectations helps to foster a productive work environment.

The Performance Improvement Plan (PIP) can also be likened to the DA Form 2166-9-1. A PIP is often used when an employee's performance does not meet expectations. Similar to the evaluation report, it outlines specific areas needing improvement and sets measurable goals. Both documents serve as tools for accountability and development, providing a clear path for employees to enhance their performance. The emphasis on constructive feedback is a common thread between the two forms.

The Fitness Report (FITREP) used by the U.S. Navy bears similarities to the DA Form 2166-9-1 as well. Both documents evaluate the performance of personnel and include sections for comments on leadership, professionalism, and overall effectiveness. The FITREP, like the NCO Evaluation Report, plays a crucial role in determining promotions and career advancement. They both require input from multiple evaluators, ensuring a balanced and fair assessment of the individual’s capabilities.

The Performance Appraisal Document (PAD) used in various organizations also shares characteristics with the DA Form 2166-9-1. The PAD assesses an employee's performance based on specific criteria and includes feedback from supervisors. Like the DA Form, it aims to promote professional development and align individual goals with organizational objectives. Both documents encourage open communication between employees and their evaluators, fostering a culture of continuous improvement.

Lastly, the 360-Degree Feedback form is similar to the DA Form 2166-9-1 in that it gathers input from various sources, including peers, supervisors, and subordinates. This comprehensive approach provides a well-rounded view of an individual’s performance. Both forms focus on critical competencies and personal attributes, aiming to enhance the individual's professional growth. By incorporating multiple perspectives, they help create a more accurate assessment of performance and potential.

Dos and Don'ts

When filling out the DA 2166-9-1 form, it’s essential to ensure accuracy and completeness. Here are some important dos and don’ts to keep in mind:

  • Do double-check all personal information, including your name and SSN, for accuracy.
  • Do ensure that all dates are formatted correctly (YYYYMMDD).
  • Do provide a clear and detailed description of your daily duties and responsibilities.
  • Do include all required signatures from the rater, senior rater, and supplementary reviewer.
  • Do review the completed form for any missing sections before submission.
  • Don't leave any sections blank; if a section does not apply, indicate that clearly.
  • Don't use informal language or abbreviations that may confuse the reader.
  • Don't forget to sign and date the form in the appropriate sections.
  • Don't submit the form without verifying that all email addresses are correct.
  • Don't rush through the process; take your time to ensure everything is accurate and complete.

Misconceptions

Misconceptions about the DA 2166 9 1 form can lead to confusion regarding its purpose and use. Here are five common misconceptions clarified:

  • It is only for NCOs with negative evaluations. This form is used for all Non-Commissioned Officers (NCOs) regardless of their performance. It provides a comprehensive evaluation, highlighting both strengths and areas for improvement.
  • Only the rater's opinion matters. While the rater's assessment is crucial, the senior rater also plays an important role in evaluating the NCO’s potential. Their input is considered equally significant in the overall evaluation process.
  • Signatures indicate agreement with the evaluation. The rated NCO's signature does not mean they agree with the evaluations. It simply confirms that they have seen the report and that the administrative data is correct.
  • The form is only for annual evaluations. This form can be used for various evaluations, including initial assessments, quarterly reviews, and special circumstances. Its flexibility allows for timely feedback throughout the year.
  • It is not important for career advancement. The DA 2166 9 1 form plays a significant role in career progression. Evaluations can influence promotions, assignments, and other opportunities within the military.

Key takeaways

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

  • Accurate Information: Ensure all personal details, such as name, SSN, and rank, are correctly filled in Part I.
  • Submission Reasons: Clearly state the reason for submission in the designated section to avoid confusion.
  • Rater and Senior Rater Details: Provide complete information for both the rater and senior rater, including signatures and email addresses.
  • Performance Evaluation: Assess the rated NCO’s performance across various competencies, ensuring comments are specific and relevant.
  • Counseling Dates: Document all counseling dates accurately to reflect the rated NCO's development and progress.
  • Supplementary Review: If applicable, include details of any supplementary reviewers, ensuring their input is captured.
  • Review Process: The rated NCO should understand that their signature does not indicate agreement but confirms the accuracy of administrative data.