Da 2166 9 1 Template

Instructions on How to Fill Out Da 2166 9 1

Completing the DA 2166-9-1 form is an important task that requires attention to detail. This form is used to evaluate the performance of Non-Commissioned Officers (NCOs). To ensure accuracy, follow the steps outlined below to fill out each section of the form correctly.

1. Part I - Administrative Data:
   • Enter the rated NCO's name (Last, First, Middle Initial).
   • Provide the SSN or DOD ID Number.
   • Indicate the rank of the rated NCO.
   • Fill in the date of rank.
   • Enter the PMOSC (Primary Military Occupational Specialty Code).
   • Provide the unit, organization, station, ZIP code or APO, and major command.
   • Indicate the status code.
   • Fill in the UIC (Unit Identification Code).
   • State the reason for submission.
   • Specify the period covered from start date to end date (year, month, day).
   • Enter the rated months.
   • Fill in the non-rated codes.
   • Indicate the number of enclosures.
   • Provide the rated NCO's email address (must be .gov or .mil).
2. Part II - Authentication:
   • Enter the name of the rater (Last, First, Middle Initial).
   • Provide the rater's SSN or DOD ID Number.
   • Obtain the rater's signature.
   • Fill in the date (YYYYMMDD).
   • Indicate the rater's rank, PMOSC/branch, and organization duty assignment.
   • Provide the rater's email address (must be .gov or .mil).
   • Enter the name of the senior rater (Last, First, Middle Initial).
   • Provide the senior rater's SSN or DOD ID Number.
   • Obtain the senior rater's signature.
   • Fill in the date (YYYYMMDD).
   • Indicate the senior rater's rank, PMOSC/branch, and organization duty assignment.
   • Provide the senior rater's email address (must be .gov or .mil).
   • Enter the name of the supplementary reviewer (if applicable).
   • Fill in the rank, PMOSC/organization duty assignment of the supplementary reviewer.
   • Indicate whether a review is required (Yes/No).
   • Provide comments if necessary.
   • Obtain the supplementary reviewer's signature and date (YYYYMMDD).
   • Provide the supplementary reviewer's email address (must be .gov or .mil).
3. Part III - Duty Description:
   • Enter the principal duty title.
   • Provide the duty MOSC.
   • Describe daily duties and scope, including people, equipment, facilities, and dollars.
   • List areas of special emphasis.
   • Indicate appointed duties.
4. Part IV - Performance Evaluation:
   • Indicate APFT (Army Physical Fitness Test) pass/fail/profile status and date.
   • Provide the height and weight of the rated NCO.
   • Indicate if within standard (comments required for failures).
   • Evaluate character, presence, intellect, leads, develops, and achieves, providing comments for each category.
   • Indicate the overall performance rating of the rater.
5. Part V - Senior Rater Overall Potential:
   • Select a box representing the rated NCO’s potential compared to others in the same grade.
   • Provide comments on the rated NCO’s potential.
   • List two successive assignments and one broadening assignment.

Once you have completed the form, review it carefully for any errors or omissions. Make sure all signatures are obtained, and ensure that the required email addresses are correct. After verification, submit the form as directed by your organization.

Here are some key takeaways regarding the DA 2166-9-1 form, which is used for NCO Evaluation Reports:

• Accurate Information is Essential: Ensure all personal details, such as name, SSN, and rank, are filled out correctly in Part I. Errors can lead to delays or complications.
• Understand the Signature Implications: The rated NCO's signature does not indicate agreement with the evaluations but confirms that the administrative data and counseling dates are accurate.
• Performance Evaluation is Comprehensive: Part IV requires detailed assessments of various attributes, including character, presence, intellect, leadership, development, and achievement. Provide specific comments to support ratings.
• Senior Rater's Role is Critical: The senior rater assesses the rated NCO's overall potential and must compare them to others in the same grade. This evaluation is important for future assignments and career progression.
• Familiarize with the Appeals Process: The rated NCO should be aware of the appeals process outlined in AR 623-3, should they disagree with the evaluation results.

The DA Form 2166-9-1 is a critical document used for evaluating non-commissioned officers (NCOs) in the U.S. Army. However, it is often accompanied by other forms and documents that help to provide a comprehensive evaluation and ensure proper administration. Below is a list of commonly used documents that complement the DA Form 2166-9-1.

• DA Form 4856: This form is used for counseling sessions and is essential for documenting discussions between the rater and the rated NCO. It outlines performance expectations, areas for improvement, and future goals. Proper use of this form ensures that NCOs receive constructive feedback throughout the evaluation period.
• DA Form 67-9: This is the NCO Evaluation Report (NCOER) form, which provides a comprehensive assessment of an NCO's performance and potential. It includes sections for rater and senior rater evaluations, as well as a summary of the NCO's accomplishments. This form is crucial for career progression and promotion considerations.
• DA Form 705: This document records the results of the Army Physical Fitness Test (APFT). It is essential for evaluating an NCO's physical readiness and overall fitness. The APFT results are often referenced in performance evaluations, making this form a key component of the assessment process.
• DA Form 5500/5501: These forms are used for body fat content evaluation. They are necessary for ensuring that NCOs meet Army weight standards. Accurate documentation on these forms is vital for maintaining the health and readiness of soldiers.

Each of these documents plays a significant role in the evaluation process and helps to ensure that NCOs receive fair and accurate assessments. Properly completing and submitting these forms can impact an NCO's career trajectory, making it essential to handle them with care and attention to detail.

When filling out the DA 2166-9-1 form, it is important to follow specific guidelines to ensure accuracy and completeness. Here are some recommendations on what to do and what to avoid:

• Do double-check all personal information for accuracy, including name, SSN, and rank.
• Do ensure that all required signatures are obtained before submission.
• Do clearly indicate the period covered by the evaluation.
• Do provide specific examples in the performance evaluation section to support ratings.

• Don't leave any sections blank; incomplete forms may be returned for correction.
• Don't use abbreviations or unclear language that may confuse the reader.
• Don't forget to include the rated NCO's email address, as it is essential for communication.
• Don't submit the form without verifying that all comments are clear and constructive.