DA Form 2166 & 67-10: Auth., Duty Descriptions & Performance Eval. for NCOs, Study notes of Performance Evaluation

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UNCLASSIFIED

Department of the Army

Pamphlet 623 – 3

Personnel Evaluation

Evaluation

Reporting

System

Headquarters Department of the Army Washington, DC 27 September 2019

SUMMARY of CHANGE

DA PAM 623 – 3

Evaluation Reporting System

This major revision, dated 27 September 2019—

o Incorporates guidance from Army Directive 2018 – 07 – 8, Prioritizing Efforts–Readiness and Lethality (Update 8)), removing multi-source assessment and feedback requirements and information on officer evaluation reports (chap 2).

o Rescinds requirement for United States Army Reserve major generals to receive evaluation reports (para 2–2 a (4)).

o Incorporates guidance from Army Directive 2018 – 10, Establishment of United States Army Futures Command (chap 4 ).

o Includes “YES” or “NO” box checks on DA Form 1059 (Service School Academic Evaluation Report), DA Form 1059 – 1 (Civilian Institution Academic Evaluation Report), and DA Form 1059 – 2 (Senior Service and Command and General Staff College Academic Evaluation Report) to indicate if a Soldier did or did not adhere to the Army’s sexual harassment and assault response and prevention, equal opportunity, and equal employment opportunity programs (paras 4 – 2 and 4 – 12 ).

o Includes new academic rater’s assessment on DA Form 1059 and DA Form 1059 – 2 aligned with the Army’s Leadership Requirements Model emphasizing the assessment process and leadership responsibilities (paras 4 – 3 and 4 – 13 ).

o Includes new academic rater box check assessment to indicate how well the rated Soldier demonstrated Army attributes and core leadership competencies on DA Form 1059 (tables 4 – 2 , 4 – 6 , and 4 – 10 ).

o Includes Army physical fitness test, height and weight, overall grade point average, and skill identifier codes and joint education credit data fields on DA Form 1059, DA Form 1059 – 1, and DA Form 1059 – 2 to assist in talent management (tables 4 – 2 , 4 – 6 , and 4 – 10 ).

o Requires academic raters on DA Form 1059, DA Form 1059 – 1, and DA Form 1059 – 2 to enter completed special projects in support of talent management (tables 4 – 2 , 4 – 6 , and 4 – 10 ).

o Includes data fields on DA Form 1059, DA Form 1059 – 1, and DA Form 1059 – 2 to list up to three utilization tour or follow-on assignments based on Soldier’s demonstrated aptitude in support of talent management (tables 4 – 2 , 4 – 6 , and 4 – 10 ).

o Includes new reviewer assessments on DA Form 1059 and DA Form 1059 – 2 to emphasize the importance of the reviewer’s assessment process and leadership responsibilities (paras 4 – 4 and 4 – 14 and tables 4 – 3 and 4 – 11 ).

o Includes a new 4-tier reviewer “overall academic achievement” box check system on DA Form 1059 and DA Form 1059 – 2 to indicate how well the student performed against the course standards compared to other students in support of talent management (tables 4 – 3 and 4 – 11 ).

o Includes new requirements for a DA Form 1059 – 1 “Initial” evaluation report for Soldiers attending long-term civilian education programs extending 24 months or more (table 4 – 5 ).

o Identifies new DA Form 1059 – 2 as an applicable evaluation report form for specific military Service schools (para 4 – 11 ).

*This pamphlet supersedes DA Pam 623–3, dated 10 November 2015. DA PAM 623–3 • 27 September 2019

UNCLASSIFIED

i

Headquarters Department of the Army Washington, DC

*Department of the Army

Pamphlet 623 – 3

27 September 2019

Personnel Evaluation

Evaluation Reporting System

History. This publication is a major revi- sion.

Summary. This pamphlet provides pro- cedural guidance on completing tasks for the Army’s Evaluation Reporting System, including officer, noncommissioned of- ficer, and academic evaluation reports fo- cused on the assessment of performance and potential. It includes operating tasks and rules in support of operating tasks. It has been revised to update policy on use of new academic evaluation report forms; in- corporate Army Directive 2018 – 07 – 8 re- moving multi-source assessment and feed- back requirements and information on of- ficer evaluation reports; incorporate Army Directive 2018 – 10; describe the use of the Army’s Evaluation Entry System as the pri- mary method for creating, tracking, and submitting DA Form 1059, DA Form 1059 – 1, and DA Form 1059 – 2 evaluation reports completed on Servicemembers at- tending military Service schools and civil- ian institutions; describe a new DA Form

1059 – 2 to the Army’s form inventory, ap- plicable for specific military training insti- tutions; describe a new rater academic achievement box check system on aca- demic evaluation reports, linking perfor- mance with Army leadership attributions and competencies; and describe a new re- viewer overall academic achievement 4-tier box check system for DA Form 1059 and DA Form 1059 – 2. Final revisions include defining what significant administrative er- rors are actionable when requesting an ad- ministrative appeal. Applicability. This pamphlet applies to the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. It also applies to Depart- ment of the Army Civilians, and to U.S. Armed Forces and U.S. Coast Guard offic- ers, officers of allied armed forces, and em- ployees of the Government who serve as rating officials in the performance of their personnel management responsibilities as established by this regulation and in accord- ance with applicable Joint, Department of Defense, and civilian personnel manage- ment policy. It does not apply to retirees or former Soldiers. The guidance provided in this pamphlet applies during mobilization in conjunction with Personnel Policy Guid- ance published for each operation and is- sued by Headquarters, Department of the Army. Proponent and exception authority. The proponent of this regulation is the Dep- uty Chief of Staff, G – 1. The proponent has the authority to approve exceptions or waivers to this regulation that are consistent

with controlling law and regulations The Deputy Chief of Staff, G – 1, has delegated this approval authority to the Commanding General, Human Resources Command, who may further delegate this authority to a division chief, Human Resources Com- mand, in the rank of colonel or the civilian grade equivalent. Human Resources Com- mand is a direct reporting unit to the propo- nent agency. Activities may request a waiver to this regulation by providing justi- fication which includes a full analysis of the expected benefits and must include a formal review by the activity’s senior legal officer. All waiver requests will be endorsed by the commander or senior leader of the request- ing activity and forwarded through their higher headquarters to the policy propo- nent. Refer to AR 25 – 30 for specific guid- ance. Suggested improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recom- mended Changes to Publications and Blank Forms) directly to the Commander, U.S. Army Human Resources Command (AHRC – PDV – E), 1600 Spearhead Divi- sion Avenue, Department 470, Fort Knox, KY 40122 – 5407. Distribution. This pamphlet is available in electronic media only and is intended for the Regular Army, Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve.

Contents (Listed by paragraph and page number)

Chapter 1 Introduction, page 1 Purpose • 1 – 1, page 1 References and forms • 1 – 2, page 1 Explanation of abbreviations and terms • 1 – 3, page 1 Evaluation report forms • 1 – 4, page 1 Privacy Act statement • 1 – 5, page 1

Contents—Continued

DA PAM 623–3 • 27 September (^2019) iii

Section VIII Headquarters, Department of the Army DA Form 67 – 10 Series Officer Evaluation Report Processing, page 75 How to make corrections to DA Form 67 – 10 series officer evaluation reports • 2 – 32, page 75 Headquarters, Department of the Army rejection of DA Form 67 – 10 series officer evaluation reports • 2 – 33, page 75

Chapter 3 Noncommissioned Officer Evaluation Report Forms and Preparation, page 77

Section I DA Form 2166 – 9 – 1A, page 77 Purpose and process for DA Form 2166 – 9 – 1A • 3 – 1, page 77

Section II DA Form 2166 – 9 Series Noncommissioned Officer Evaluation Reports, page 82 Purpose and process for DA Form 2166 – 9 series noncommissioned officer evaluation reports • 3 – 2, page 82

Section III DA Form 2166 – 9 – 1, page 89 Part I, Administrative data • 3 – 3, page 89 Part II, Authentication • 3 – 4, page 91 Part III, Duty description • 3 – 5, page 94 Part IV, Performance evaluation, professionalism, attributes, and competencies • 3 – 6, page 95 Part V, Senior rater overall potential • 3 – 7, page 100

Section IV DA Form 2166 – 9 – 2, page 101 Part I, Administrative data • 3 – 8, page 101 Part II, Authentication • 3 – 9, page 104 Part III, Duty description • 3 – 10, page 107 Part IV, Performance evaluation, professionalism, attributes, and competencies • 3 – 11, page 107 Part V, Senior rater overall potential • 3 – 12, page 113

Section V DA Form 2166 – 9 – 3, page 115 Part I, Administrative data • 3 – 13, page 115 Part II, Authentication • 3 – 14, page 117 Part III, Duty description • 3 – 15, page 120 Part IV, Performance evaluation, professionalism, attributes, and competencies • 3 – 16, page 121 Part V, Senior rater overall potential • 3 – 17, page 126

Section VI Rater Tendency and Senior Rater Profile Reports for Noncommissioned Officer Evaluation Reporting System, page 128 Rater tendency report, Noncommissioned Officer Evaluation Reporting System, and Headquarters, Department of the Army electronically generated label • 3 – 18, page 128 Senior rater profile report, Noncommissioned Officer Evaluation Reporting System, and Headquarters, Department of the Army electronically generated label • 3 – 19, page 129

Section VII “Relief for Cause” Reports and Addendum Procedures, page 129 “Relief for Cause” noncommissioned officer evaluation report instructions • 3 – 20, page 129 Mandatory review of noncommissioned officer “Relief for Cause” reports • 3 – 21, page 130 Submitting an addendum to previously submitted Noncommissioned Officer Evaluation Reports • 3 – 22, page 131

Section VIII Headquarters, Department of the Army DA Form 2166 – 9 Series Noncommissioned Officer Evaluation Report Pro- cessing, page 131

Contents—Continued

Section II

• ii DA PAM 623–3 • 27 September
• Chapter
• Officer Evaluation Report Forms and Preparation, page
• DA Form 67 – 10 – 1A, page Section I
• Purpose and process for DA Form 67 – 10 – 1A • 2 – 1, page
• DA Form 67 – 10 Series Officer Evaluation Reports, page Section II
• Purpose and process for DA Form 67 – 10 series officer evaluation reports • 2 – 2, page
• DA Form 67 – 10 – 1, page Section III
• Part I, Administrative data • 2 – 3, page
• Part II, Authentication • 2 – 4, page
• Part III, Duty description • 2 – 5, page
• Part IV, Performance evaluation–professionalism, competencies, and attributes • 2 – 6, page
• Part V, Intermediate rater (if applicable) • 2 – 7, page
• Part VI, Senior rater • 2 – 8, page
• DA Form 67 – 10 – 2, page Section IV
• Part I, Administrative data • 2 – 9, page
• Part II, Authentication • 2 – 10, page
• Part III, Duty description • 2 – 11, page
• Part IV, Performance evaluation–professionalism, competencies and attributes • 2 – 12, page
• Part V, Intermediate rater (if applicable) • 2 – 13, page
• Part VI, Senior rater • 2 – 14, page
• Part I, Administrative data • 2 – 15, page
• Part II, Authentication • 2 – 16, page
• Part III, Duty description • 2 – 17, page
• Part IV, Performance evaluation–professionalism, competencies and attributes • 2 – 18, page
• Part V, Intermediate rater (if applicable) • 2 – 19, page
• Part VI, Senior rater • 2 – 20, page
• DA Form 67 – 10 – 4, page Section V
• Part I, Administrative data • 2 – 21, page
• Part II, Authentication • 2 – 22, page
• Part III, Duty description • 2 – 23, page
• Part IV, Performance evaluation–professionalism, competencies, and attributes • 2 – 24, page
• Part V, Senior rater • 2 – 25, page
• Rater and Senior Rater Profile Reports for Officer Evaluation Reporting System, page Section VI
  • generated label (Company and Field Grade Plates) • 2 – 26, page Rater profile report, Officer Evaluation Reporting System, and Headquarters, Department of the Army electronically
  • cally generated label • 2 – 27, page Senior rater profile report, Officer Evaluation Reporting System, and Headquarters, Department of the Army electroni-
• Referred Reports, “Relief for Cause” Reports, and Addendum Procedures, page Section VII
• Referral process • 2 – 28, page
• “Relief for Cause” officer evaluation report instructions • 2 – 29, page
• Mandatory review of officer “Relief for Cause” officer evaluation reports • 2 – 30, page
• Submitting an addendum to previously submitted officer evaluation reports • 2 – 31, page
• iv DA PAM 623–3 • 27 September
  • ports • 3 – 23, page Instructions for “Relief for Cause” DA Form 2166 – 9 series noncommissioned officer evaluation re-
• How to make corrections to DA Form 2166 – 9 series noncommissioned officer evaluation reports • 3 – 24, page
  • ports • 3 – 25, page Headquarters, Department of the Army rejection of DA Form 2166 – 9 series noncommissioned officer evaluation re-
• Chapter
• Preparation of DA Form 1059, DA Form 1059 – 1, and DA Form 1059 – 2, page
• DA Form 1059, page Section I
• Purpose and process for DA Form 1059 • 4 – 1, page
• Administrative data • 4 – 2, page
• Part II, Academic achievement • 4 – 3, page
• Part III, Overall academic achievement • 4 – 4, page
• Part IV, Authentication • 4 – 5, page
• DA Form 1059 – 1, page Section II
• Purpose and process for DA Form 1059 – 1 • 4 – 6, page
• Administrative data • 4 – 7, page
• Demonstrated abilities • 4 – 8, page
• Administrative review • 4 – 9, page
• Authentication • 4 – 10, page
• DA Form 1059 – 2, page Section III
• Purpose and process for DA Form 1059 – 2 • 4 – 11, page
• Administrative data • 4 – 12, page
• Part II, Academic performance • 4 – 13, page
• Part III, Overall academic achievement and potential • 4 – 14, page
• Part IV, Authentication • 4 – 15, page
  • ments • 4 – 16, page Referral process for DA Form 1059 series academic evaluation reports and mandatory supplementary review require-
• Submitting an addendum to previously submitted academic evaluation reports • 4 – 17, page
• Chapter
• Evaluation Report Processing, page
• Evaluation Report Processing and Submission, page Section I
  • and DA Form 1059 series Academic evaluation reports processing and copies • 5 – 1, page DA Form 67 – 10 series officer evaluation reports, DA Form 2166 – 9 series noncommissioned officer evaluation reports,
• DA Form 1059 series processing and copies • 5 – 2, page
  • ries), page Addendum Preparation and Forwarding (DA Form 67 – 10 Series, DA Form 2166 – 9 Series, and DA Form 1059 Se-
• Preparing an addendum to a previous evaluation report • 5 – 3, page
• Steps for preparing an addendum • 5 – 4, page
• Chapter
• Constructing an Evaluation Report Appeal, page
• Deciding to appeal • 6 – 1, page
• Preparing an appeal • 6 – 2, page
• A. References, page Appendixes
• B. U.S. Army Human Resources Command and Other Addresses, page
• C. Counseling, page
• Table 2 – 1: Administrative data for DA Form 67 – 10 – 1, page Table List
• Table 2 – 2: Authentication for DA Form 67 – 10 – 1, page
• Table 2 – 3: Duty description for DA Form 67 – 10 – 1, page
• Table 2 – 4: Performance evaluation–professionalism and Army Values for DA Form 67 – 10 – 1, page
• Table 2 – 5: Intermediate rater for DA Form 67 – 10 – 1, page
• Table 2 – 6: Senior rater for DA Form 67 – 10 – 1, page
• Table 2 – 7: Administrative data for DA Form 67 – 10 – 2, page
• Table 2 – 8: Authentication for the DA Form 67 – 10 – 2, page
• Table 2 – 9: Duty description for DA Form 67 – 10 – 2, page
• Table 2 – 10: Performance evaluation–professionalism and Army Values for the DA Form 67 – 10 – 2, page
• Table 2 – 11: Intermediate rater for DA Form 67 – 10 – 2, part V, page
• Table 2 – 12: Senior rater for DA Form 67 – 10 – 2, page
• Table 2 – 13: Administrative data for DA Form 67 – 10 – 3, page
• Table 2 – 14: Authentication for DA Form 67 – 10 – 3, page
• Table 2 – 15: Duty description for DA Form 67 – 10 – 3, page
• Table 2 – 16: Performance evaluation–professionalism and Army Values for DA Form 67 – 10 – 3, page
• Table 2 – 17: Intermediate rater for DA Form 67 – 10 – 3, page
• Table 2 – 18: Senior rater for DA Form 67 – 10 – 3, page
• Table 2 – 19: Administrative data for DA Form 67 – 10 – 4, page
• Table 2 – 20: Authentication for DA Form 67 – 10 – 4, page
• Table 2 – 21: Duty description for DA Form 67 – 10 – 4, page
• Table 2 – 22: Performance evaluation–professionalism and Army Values for DA Form 67 – 10 – 4, page
• Table 2 – 23: Senior rater for DA Form 67 – 10 – 4, page
• Table 2 – 24: Codes and reasons for submitting DA Form 67 – 10 series officer evaluation reports, page
• Table 2 – 25: Codes and reasons for nonrated periods for DA Form 67 – 10 series officer evaluation reports, page
• Table 3 – 1: Administrative data for DA Form 2166 – 9 – 1, page
• Table 3 – 2: Authentication for DA Form 2166 – 9 – 1, page
• Table 3 – 3: Duty description for DA Form 2166 – 9 – 1, page
• Table 3 – 4: Part IV–Performance evaluation, professionalism, attributes, and competencies DA Form 2166 – 9 – 1, page
• Table 3 – 5: Senior rater for DA Form 2166 – 9 – 1, page
• Table 3 – 6: Administrative data for DA Form 2166 – 9 – 2, page
• Table 3 – 7: Authentication for DA Form 2166 – 9 – 2, page
• Table 3 – 8: Duty description for DA Form 2166 – 9 – 2, page
  • 2166 – 9 – 2, page Table 3 – 9: Part IV–Performance evaluation, professionalism, attributes, and competencies DA Form
• Table 3 – 10: Senior rater for DA Form 2166 – 9 – 2, page
• Table 3 – 11: Administrative data for DA Form 2166 – 9 – 3, page
• Table 3 – 12: Authentication for DA Form 2166 – 9 – 3, page
• Table 3 – 13: Duty description for DA Form 2166 – 9 – 3, page
  • 2166 – 9 – 3, page Table 3 – 14: Part IV–Performance evaluation, professionalism, attributes, and competencies DA Form
• Table 3 – 15: Senior rater for DA Form 2166 – 9 – 3, page
  • ports, page Table 3 – 16: Codes and reasons for submission for DA Form 2166 – 9 series noncommissioned officer evaluation re-
  • ports, page Table 3 – 17: Reason codes for nonrated time for DA Form 2166 – 9 series noncommissioned officer evaluation re-
• Table 4 – 1: Administrative data for DA Form 1059, page
• Table 4 – 2: Academic achievement for DA Form 1059, page
• vi DA PAM 623–3 • 27 September Contents—Continued
• Table 4 – 3: Part III–Overall academic achievement for DA Form 1059, page
• Table 4 – 4: Authentication for DA Form 1059, page
• Table 4 – 5: Administrative data for DA Form 1059 – 1, page
• Table 4 – 6: Demonstrated abilities for DA Form 1059 – 1, page
• Table 4 – 7: Administrative review for DA Form 1059 – 1, page
• Table 4 – 8: Authentication for DA Form 1059 – 1, page
• Table 4 – 9: Administrative data for DA Form 1059 – 2, page
• Table 4 – 10: Part II-Academic Performance for DA Form 1059 – 2, page
• Table 4 – 11: Overall academic achievement and potential for DA Form 1059 – 2, page
• Table 4 – 12: Authentication for DA Form 1059 – 2, page
• Table 4 – 13: Codes and reasons for submission for DA Form 1059 series academic evaluation reports, page
• Table 4 – 14: Codes and reasons for submission for DA Form 1059 series academic evaluation reports, page
• Table 5 – 1: Sponsoring agency addresses for DA Form 1059 series, page
• Table 5 – 2: Addendum preparation, page
• Table 6 – 1: Appeal preparation and checklist, page
  • nel offices, page Table B – 1: Addresses for U.S. Army Human Resources Command, National Guard Bureau, and other Service’s person-
• Table C – 1: Counseling session preparation, page
• Figure 2 – 1: Example of DA Form 67 – 10 – 1A (page 1), page Figure List
• Figure 2 – 1: Example of DA Form 67 – 10 – 1A—Continued (page 2), page
• Figure 2 – 1: Example of DA Form 67 – 10 – 1A—Continued (page 3), page
• Figure 2 – 2: Example of DA Form 67 – 10 – 1 (page 1), page
• Figure 2 – 2: Example of DA Form 67 – 10 – 1–Continued (page 2), page
• Figure 2 – 3: Example of DA Form 67 – 10 – 2 (page 1), page
• Figure 2 – 3: Example of DA Form 67 – 10 – 2–Continued (page 2), page
• Figure 2 – 4: Example of DA Form 67 – 10 – 3 (page 1), page
• Figure 2 – 4: Example of DA Form 67 – 10 – 3–Continued (page 2), page
• Figure 2 – 5: Example of DA Form 67 – 10 – 4, page
• Figure 2 – 6: Sample format for referral memorandum, page
• Figure 2 – 7: Sample format for acknowledgment memorandum, page
• Figure 2 – 8: Sample format “Relief for Cause” directed by a non-rating official memorandum, page
• Figure 2 – 9: Sample format supplementary review “Relief for Cause” memorandum, page
• Figure 2 – 10: Sample format for request of an international rater identification number memorandum, page
• Figure 3 – 1: Example of DA Form 2166 – 9 – 1A (page 1), page
• Figure 3 – 1: Example of DA Form 2166 – 9 – 1A—Continued (page 2), page
• Figure 3 – 2: Example of DA Form 2166 – 9 – 1 (page 1), page
• Figure 3 – 2: Example of DA Form 2166 – 9 – 1—Continued (page 2), page
• Figure 3 – 3: Example of DA Form 2166 – 9 – 2 (page 1), page
• Figure 3 – 3: Example of DA Form 2166 – 9 – 2–Continued (page 2), page
• Figure 3 – 4: Example of DA Form 2166 – 9 – 3 (page 1), page
• Figure 3 – 4: Example of DA Form 2166 – 9 – 3–Continued (page 2), page
• Figure 4 – 1: Sample of DA Form 1059, page
• Figure 4 – 2: Sample of a DA Form 1059 – 1, page
• Figure 4 – 3: Sample of a DA Form 1059 – 2, page
• Figure 5 – 1: Sample format for an addendum–commander’s cover memorandum, page
• Figure 5 – 2: Sample format for an addendum–rating official’s response memorandum, page
• Figure 6 – 1: Sample format for an administrative appeal memorandum, page
• Figure 6 – 2: Sample format for a substantive appeal memorandum, page
• Figure 6 – 3: Sample format for a combined administrative and substantive appeal memorandum, page
• Figure 6 – 4: Sample format for a letter requesting third-party support, page
• Figure 6 – 5: Sample format for a third party-support memorandum, page

DA PAM 623–3 • 27 September (^2019 )

Chapter 1

Introduction

1 – 1. Purpose This pamphlet provides procedural guidance for completing and submitting to Headquarters, Department of the Army (HQDA) evaluation reports and associated support forms that are the basis for the Army’s Evaluation Reporting System. These include Department of the Army (DA) Form 67 – 10 – 1A (Officer Evaluation Report Support Form) and DA Form 2166 – 9 – 1A (NCO Evaluation Report Support Form), known collectively as support forms; DA Form 67 – 10 – 1 (Company Grade Plate (O1 - O3; WO1 - CW2) Officer Evaluation Report), DA Form 67 – 10 – 2 (Field Grade Plate (O4 - O5; CW3 - CW5) Officer Evaluation Report), DA Form 67 – 10 – 3 (Strategic Grade Plate (O6) Officer Evaluation Report), and DA Form 67 – 10 – 4 (Strategic Grade Plate General Officer Evaluation Report), known collectively as DA Form 67 – 10 series officer evaluation reports (OERs); DA Form 2166 – 9 – 1 (NCO Evaluation Report (SGT)), DA Form 2166 – 9 – 2 (NCO Evaluation Report (SSG – 1SG/MSG)), and DA Form 2166 – 9 – 3 (NCO Evaluation Report (CSM/SGM)), known collec- tively as DA Form 2166 – 9 series noncommissioned officer evaluation reports (NCOERs); and DA Form 1059 (Service School Academic Evaluation Report), DA Form 1059 – 1 (Civilian Institution Academic Evaluation Report), and DA Form 1059 – 2 (Senior Service and Command and General Staff College Academic Evaluation Report), known collectively as DA Form 1059 series academic evaluation reports (AERs). DA Form 67 – 10 series OERs, DA Form 2166 – 9 series NCO- ERs, and DA Form 1059 series AERs are collectively referred to as evaluation reports. Policy pertaining to each of these unique evaluation reports and support forms is contained in AR 623 – 3. Send requests for clarification or exceptions to procedures to the U.S. Army Human Resources Command (HRC) (AHRC – PDV – E) (see app B for address and contact information). Current information on updated applications, changes in procedural guidance, and training are available online at https://www.hrc.army.mil/.

1 – 2. References and forms See appendix A.

1 – 3. Explanation of abbreviations and terms See glossary.

1 – 4. Evaluation report forms The Army’s Evaluation Entry System (EES) provides the most current versions of mandatory forms used in the evaluation process. Additionally, mandatory forms used in the evaluation process are available at the Army’s Publishing Directorate’s website (https://armypubs.army.mil/). This pamphlet addresses specific instructions for the preparation and submission of evaluation reports and support forms.

1 – 5. Privacy Act statement a. Authority. Privacy Act authorities are contained in Section 7013, Title 10, United States Code (10 USC 7013); and Executive Order 13478, Social Security Number (SSN). b. Purpose. Evaluation reports will serve as the primary source of information for officer and NCO personnel manage- ment decisions and will serve as a guide for the Soldier’s performance and development, enhance the accomplishment of the organization’s mission, and provide additional information to the rating chain. For additional information see the Sys- tem of Records Notice(s) A0600 – 8 – 104 AHRC, Army Personnel System (APS) (available at https://dpcld.defense.gov/pri- vacy/sornsindex/dod-component-notices/army-article-list/). c. Routine use. There are no specific routine uses anticipated for these reports; however they may be subject to a num- ber of proper and necessary routine uses identified in the system of records notice(s) specified in paragraph 1–5 b. d. Disclosure. Voluntary. However, failure to provide applicable information may result in delayed, erroneous, or fail- ure of processing evaluation reports. e. Use of personally identifiable information. Completed forms contain personally identifiable information and require special handling. When issued and in possession, a Department of Defense identification (DOD ID) number will be used in lieu of using an SSN.

Chapter 2

Officer Evaluation Report Forms and Preparation

DA PAM 623–3 • 27 September (^2019 )

(a) For lieutenant (LTs) and WO1s, quarterly counseling is mandatory; for captains (CPTs) and chief warrant officers two (CW2s), the counseling goal is once around midpoint (3 to 6 months into the rating period); for field grade officers, followup counseling is conducted on an as-needed basis. (b) The rater and rated officer discuss and document significant contributions. Additionally, the rater and rated officer discuss and document performance accomplishments as they relate to adherence to leadership attributes and demonstration of competencies in part V, blocks A through F. The rater will discuss how well the officer is promoting or supporting the equal opportunity and EEO programs, fostering a climate of dignity and respect, adhering to the SHARP program’s initi- atives, and preventing and eliminating sexual harassment and sexual assault in their unit (to be included in part V, block A "CHARACTER"). To apply changes, the rated officer will need to remove their signature in part VII. Upon completion of each periodic counseling session, the rated officer and the rater initial and date DA Form 67 – 10 – 1A in part III. The senior rater then reviews, comments as needed in part VII, initials in part III, and returns it to the rater. The rater will return the original DA Form 67 – 10 – 1A to the rated officer for the rated officer’s signature and date in part VII. The rater will retain a copy for record. (3) End of the rating period. End of the rating period. At the end of the rating period, the rated officer completes DA Form 67 – 10 – 1A by documenting how well they accomplished the major performance objectives during the rating period, focusing on the most significant objectives and documenting performance accomplishments as they relate to adherence to leadership attributes and demonstration of competencies made. The rated officer then forwards the completed DA Form 67 – 10 – 1A to the rater. The rater obtains the current required version of the electronic OER and uses DA Form 67 – 10 – 1A as input in preparing his or her evaluation of the rated officer. The rater uses the DA Form 67 – 10 – 1A as input to complete parts I through IV of the OER. They then forward DA Form 67 – 10 – 1A and OER to the intermediate rater, if applicable, or the senior rater. The intermediate rater, if applicable, also uses the DA Form 67 – 10 – 1A as OER input and forwards the DA Form 67 – 10 – 1A and OER to the senior rater. The senior rater uses the DA Form 67 – 10 – 1A as OER input and returns the original DA Form 67 – 10 – 1A to rated officer (see fig 2 – 1 for a sample of DA Form 67 – 10 – 1A). Additional attachments to DA Form 67 – 10 – 1A may be used, when required.

4 DA PAM 623–3 •^ 27 September^2019

Figure 2 – 1. Example of DA Form 67 – 10 – 1A (page 1)

6 DA PAM 623–3 •^ 27 September^2019

Figure 2 – 1. Example of DA Form 67 – 10 – 1A—Continued (page 3)

DA PAM 623–3 • 27 September (^2019 )

Section II

DA Form 67 – 10 Series Officer Evaluation Reports

2 – 2. Purpose and process for DA Form 67 – 10 series officer evaluation reports a. Purpose. The DA Form 67 – 10 series OERs allows rating officials to provide HQDA with performance and potential assessments of each rated officer for HQDA selection board processes. It also provides valuable information for use by successive members of the rating chain, emphasizes and reinforces professionalism, and supports the specialty focus of Officer Personnel Management System processes. Ensure the appropriate DA Form 67 – 10 series OER is selected and utilized when rated Soldiers are eligible to use the promotable (P) identifier in part I, block c of the officer evaluation report (see AR 623 – 3). DA Form 67 – 10 series OERs consist of the following: (1) DA Form 67 – 10 – 1 for 2LT through CPT and WO1 through CW2. (2) DA Form 67 – 10 – 2 for major (MAJ) through lieutenant colonel (LTC) and chief warrant officer three (CW3) through chief warrant officer five (CW5). (3) DA Form 67 – 10 – 3 for COL. (4) DA Form 67 – 10 – 4 for BG. b. Process. OER completion requires rating officials to make a conscientious assessment of a rated officer’s perfor- mance in his or her assigned position and his or her potential for increased responsibility and service in positions of higher ranks. The Armywide standard is to complete all portions of the OER using the form wizard application with the electronic form located within the EES, enter common access card (CAC)-enabled digital signatures, and digitally submit the com- pleted OER to HQDA via the EES. The electronic form wizard application allows the rater to automatically enter admin- istrative data in part I of the OER based on the most current data from the authoritative database at HQDA (see AR 623 – 3 for submission procedures and app B for addresses and contact information for manual submission of completed OERs and associated documents). Information related to OERs on United States Army Reserve (USAR) and Army National Guard (ARNG) officers can be found in this pamphlet and in AR 623 – 3. c. Samples. See figures 2 – 2 through 2 – 5 for samples of OERs.

DA PAM 623–3 • 27 September (^2019 )

Figure 2 – 2. Example of DA Form 67 – 10 – 1–Continued (page 2)

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Figure 2 – 3. Example of DA Form 67 – 10 – 2 (page 1)