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Guide to U.S. Army Officer & NCO Evaluation: DA Forms 67–10, 2166–8, 1059, and 1059–1, Exams of Performance Evaluation

Instructions for completing and processing various forms used in the U.S. Army's performance evaluation system for officers and non-commissioned officers (NCOs). The forms covered include DA Forms 67–10, 2166–8, 1059, and 1059–1. The guide explains the purpose and process for each form, as well as how to make corrections and submit addendums. It also includes addresses for various personnel offices and a glossary of terms.

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Department of the Army
Pamphlet 623–3
Personnel Evaluation
Evaluation
Reporting
System
Headquarters
Department of the Army
Washington, DC
31 March 2014
UNCLASSIFIED
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Department of the Army

Pamphlet 623–

Personnel Evaluation

Evaluation

Reporting

System

Headquarters Department of the Army Washington, DC 31 March 2014

UNCLASSIFIED

SUMMARY of CHANGE

DA PAM 623–

Evaluation Reporting System

This major revision, dated 31 March 2014--

o Adds policy and procedures for designating a Uniformed Army Advisor to perform supplementary reviews on evaluation reports, when required (paras 2- 4, 2-10, 2-16, 2-29, 2-30).

o Includes a new rater’s managed assessment for DA Form 67-10-1 (Company Grade Plate (O1-O3; WO1-CW2) Officer Evaluation Report) and DA Form 67-10-2 (Field Grade Plate (O4-O5; CW3-CW5)Officer Evaluation Report), reinvigorating the importance of the rater to the overall assessment process and reinforcing accountability (para 2-6, table 2-4 and para 2-12, table 2-10).

o Redefines the senior rater four-box check system and label technique for all grade plate forms (paras 2-8, 2-14, and 2-20).

o Updates procedures for when three future successive assignments are required for entry on DA Form 67-10 series (paras 2-8, 2-14, 2-25, tables 2-6, 2-12, 2- 18).

o Includes "operational" and "broadening" assignments recommendations for inclusion on DA Form 67-10-2 to assist in talent management (para 2-12, table 2-10).

o Includes "strategic" assignment recommendations for inclusion on DA Form 67- 10-3 (Strategic Grade Plate (O6) Officer Evaluation Report) to assist in talent management (para 2-18, table 2-16).

o Updates and clarifies procedures for "interim" DA Form 1059 (Service School Academic Evaluation Report)and DA Form 1059-1 (Civilian Institution Academic Evaluation Report) reports, when required (chapter 4).

o Incorporates new Evaluation Entry Processing System for completing and submitting evaluation reports to HQDA (throughout).

o Includes a new DA Form 67-10-1A (Officer Evaluation Report Support Form), mandated for use by officers in the grade of warrant officer one through colonel, and linking development with attributes and competencies outlined in ADRP 6-22 (throughout).

o Includes new DA Form 67-10-1, DA Form 67-10-2, DA Form 67-10-3, DA Form 67-10- 4 (Strategic Grade Plate (O7) Officer Evaluation Report), based on grade plates, and linking performance to attributes and competencies outlined in ADRP 6-22 (throughout).

o Replaces DA Form 67-9-1 (Officer Evaluation Report Support Form) and DA Form 67-9-1A (Development Support Form)(throughout).

Headquarters Department of the Army Washington, DC 31 March 2014

Personnel Evaluation

Evaluation Reporting System

*Department of the Army

Pamphlet 623–

H i s t o r y. T h i s p u b l i c a t i o n i s a m a j o r revision.

Summary. This pamphlet prescribes the policy and tasks for the Army’s Evalua- tion Reporting System, including officer, noncommissioned officer, and academic evaluation reports focused on the assess- ment of performance and potential. It in- cludes policy statements, operating tasks, and rules in support of operating tasks. It has been revised to update preparation procedures for DA Form 67–10–1, DA Form 67–10–2, DA Form 67–10–3, and DA Form 67–10–4 Officer Evaluation R e p o r t , w h i c h i n c l u d e e v a l u a t i o n s b y grade plates, a managed rater’s assess- ment system for DA Form 67–10–1 and DA Form 67–10–2 grade plates, incorpo- ration of broadening, operational, and strategic assignments for grade plates, new labeling of a four-box senior rater profile system for DA Form 67–10–1, DA

Form 67–10–2, and DA Form 67–10–3, and further stratification of a four-box senior rater profile system for DA Form 67–10–4. 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 offi- cers, officers of allied armed forces, and employees of the U.S. Government who serve as rating officials in the perform- ance of their personnel management re- s p o n s i b i l i t i e s a s e s t a b l i s h e d b y t h i s regulation and in accordance with applica- ble Joint, Department of Defense, and ci- vilian personnel management policy. It does not apply to retirees or former Sol- diers. The guidance provided in this pam- p h l e t a p p l i e s d u r i n g m o b i l i z a t i o n i n 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 pamphlet is the Deputy Chief of Staff (DCS), G–1. The proponent has the authority to approve ex- ceptions or waivers to this regulation that a r e c o n s i s t e n t w i t h c o n t r o l l i n g l a w a n d regulations. Pursuant to AR 25–30, para- graph 3–2, the DCS, G-1 has delegated this approval authority to the Command- i n g G e n e r a l ( C G ) , H u m a n R e s o u r c e s Command (HRC), who may further dele- gate this authority to a division chief,

HRC, in the rank of colonel or the civilian grade equivalent. Human Resources Com- mand is a field operating agency to the proponent agency. Activities may request a waiver to this regulation by providing justification 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 requesting activity and for- warded through their higher headquarters to the policy proponent.

Suggested improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recom- m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to 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 command levels A, B, C, D, and E for the Regular Army, Army National Guard/ A r m y N a t i o n a l G u a r d o f t h e U n i t e d 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 • 1–2, page 1 Explanation of abbreviations • 1–3, page 1 Evaluation report forms • 1–4, page 1

*This pamphlet supersedes DA Pam 623–3, dated 05 June 2012.

DA PAM 623–3 • 31 March 2014 i

UNCLASSIFIED

Contents—Continued

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 series: 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), DA Form 67–10– (Strategic Grade Plate (O7) Officer Evauation Report), hereafter known collectively as DA Form 67–10 series (Officer Evaluation Report); DA Form 67–10–1A (Officer Evaluation Report Support Form); DA Form 2166–8 (NCO Evalua- tion Report); DA Form 2166–8–1 (NCOER Counseling and Support Form); DA Form 1059 (Service School Academic Evaluation Report); and DA Form 1059–1 (Civilian Institution Academic Evaluation Report). DA Form 67–10 series, DA Form 2166–8, DA Form 1059, and DA Form 1059–1 hereafter are collectively referred to as evaluation reports. DA Form 67–10–1A and DA Form 2166–8–1 hereafter are collectively referred to as support forms. Policy pertaining to each of these unique reports and the support forms is contained in Army regulation (AR) 623–3. Send requests for clarification or exceptions to procedures to the U.S. Army Human Resources Command (HRC) (AHRC–PDV–E) (address and contact information in app B). Current information on updated applications, changes in procedural guidance, and training are available online at http://www.hrc.army.mil/.

1–2. References Required and related publications and prescribed and referenced forms are listed in appendix A.

1–3. Explanation of abbreviations Abbreviations and special terms used in this pamphlet are explained in the glossary.

1–4. Evaluation report forms The Army Publishing Directorate’s Web site (http://www.apd.army.mil under the “Forms”) provides the most current versions of mandatory forms used in the evaluation process. This pamphlet addresses specific instructions for the preparation and submission of evaluation reports and support forms.

1–5. Privacy Act statement a. Authority. The authority for the Privacy Act for evaluation reports can be found in Title 5, United States Code, Sections 301 (5 USC 301) and 10 USC 3013. b. Purpose. Evaluation reports will serve as the primary source of information for officer and noncommissioned officer (NCO) personnel management decisions and will serve as a guide for the Soldier’s performance and develop- ment, enhance the accomplishment of the organization’s mission, and provide additional information to the rating chain. c. Routine use. Evaluation reports will be maintained in the rated Soldier’s Army Military Human Resource Record (AMHRR). A copy will be given directly to the rated Soldier or sent to a forwarding address. d. Disclosure. Disclosure of a full nine-digit social security number (SSN) for the rated Soldier, the rater, and senior rater is voluntary. However, failure to provide verified SSNs will result in a delayed or erroneous processing of the evaluation report. Note: Completed forms contain personnel identifiable information and require special handling.

Chapter 2

Officer Evaluation Report Forms and Preparation

Section I DA Form 67–10–1A (Officer Evaluation Report Support Form)

2–1. Purpose and process for DA Form 67–10–1A a. Purpose. DA Form 67–10–1A promotes a top-down emphasis on leadership communication, integrating rated officer participation in objective setting, performance counseling, and the evaluation process. At the beginning of the rating period, it enhances planning and relates performance to mission through rater and rated officer joint discussion of the duty description and major performance objectives.

Note. The word “officer” refers to both commissioned officers and warrant officers, unless otherwise specified. However, rating officials will recognize the basic differences between commissioned and warrant officers when counseling and preparing evaluation reports.

DA PAM 623–3 • 31 March 2014 1

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

DA PAM 623–3 • 31 March 2014 3

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

4 DA PAM 623–3 • 31 March 2014

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

6 DA PAM 623–3 • 31 March 2014

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

DA PAM 623–3 • 31 March 2014 7

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

DA PAM 623–3 • 31 March 2014 9

Figure 2–4. Example of DA Form 67–10–3 (page 1)

10 DA PAM 623–3 • 31 March 2014