The Department of the Army recently released a new form, the AF Form 860A. This new form is used to report adverse administrative actions, known as DA casestates. This form will be used to provide information on the status of individuals who are subject to an adverse action and will replace the DD Form 214. The AF Form 860A is required for all soldiers and must be submitted within 10 days of any event that results in an adverse action. The form can be found on the MyArmyBenefits website.
If you would like first find out how much time you need to complete the af form 860a and the number of pages it has, here's some basic information that may be useful.
| Question | Answer |
|---|---|
| Form Name | Af Form 860A |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | form 860a, af 860a, af form 860a, af form 860 |
CIVILIAN RATING OF RECORD
(Please read Privacy Act Statement on reverse before completing this form.)
EMPLOYEE(Last Name, First, Middle Initial) |
SSN |
ORGANIZATION |
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PAY PLAN |
SERIES |
GRADE/STEP |
TOTAL BASE, LOCALITY AND |
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OTHER SUPPLEMENTAL PAY |
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PUBLIC, JOHN Q |
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0000 |
51 FSS/FSMC |
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GS |
0201 |
12/05 |
$58,376 PA |
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APPRAISAL PERIOD |
FROM: |
20130401 |
TO: |
20140331 |
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EFFECTIVE DATE: |
20140601 |
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- Part A normally contains one to seven critical elements.
- Rate the critical element(s) in Part A by placing an "X" in the appropriate block (s). The overall performance rating is derived from the ratings of the critical elements. A rating of "Does not meet" on any critical element results in a determination that overall performance is unacceptable. An Unacceptable rating is the basis for initiating a performance improvement plan and requires proper documentation. Contact the Civilian Personnel Flight for assistance.
- Complete Part B, "Impact on Mission Accomplishment" for
PART A. Position Requirements. (Was the employee's performance Unacceptable or Acceptable on the Performance Plan's critical elements?)
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DOES NOT MEET |
MEETS |
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DOES NOT MEET |
MEETS |
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ELEMENT 1 |
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ELEMENT 8 |
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ELEMENT 2 |
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ELEMENT 9 |
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ELEMENT 3 |
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ELEMENT 10 |
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ELEMENT 4 |
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ELEMENT 11 |
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ELEMENT 5 |
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ELEMENT 12 |
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ELEMENT 6 |
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ELEMENT 13 |
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ELEMENT 7 |
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ELEMENT 14 |
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OVERALL PERFORMANCE RATING R - ACCEPTABLE: Rated "Meets Standards" on all critical elements. |
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RN - UNACCEPTABLE: Rated "Does Not Meet Standards" on one or more critical elements
PART B. Impact on Mission Accomplishment. (Mandatory completion required for
N/A
PART C. Award Justification. (Part B may serve as Part C award justification.)
-UP TO 9 LINES
-BULLET FORMAT
If you do Not nominate for an award, leave this Part C blank.
PART D. Performance Award.
AWARD(Enter "P" - Performance or "Q" - QSI)
P
AWARD PERCENTAGE OR AMOUNT (If P (cash), enter as a percentage, e.g., 1.5, or as a whole dollar amount)
$250.00
OTHER AWARD (For
Certification for
PART E. Certification. (Certify by having rater, reviewer, award approving official (if required), and employee sign and date this form.)
RATER |
DUTY PHONE |
DATE (YYYYMMDD) |
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(784) |
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REVIEWER |
DUTY PHONE |
DATE (YYYYMMDD) |
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(784) |
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AWARD APPROVING OFFICIAL |
DUTY PHONE |
DATE (YYYYMMDD) |
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EMPLOYEE (Receipt acknowledged. Signature does not indicate agreement or disagreement.)
DATE (YYYYMMDD)
AF FORM 860A, 19990701, V3 |
PREVIOUS EDITIONS ARE OBSOLETE |
PART F. Civilian Promotion Appraisal.
This appraisal is used for competitive in service placement actions, including promotions, reassignments or demotions to positions with known growth potential, and other such instances. The ratings on this form are used as a sort factor in determining final rank order of employees having substantially equal knowledge, skills and abilities, when the number of candidates exceeds the number of employees who can be referred to the selecting official for consideration.
APPRAISAL FACTORS - MANNER OF PERFORMANCE (Do not complete if employee is a
Appraisal factors listed below represent work behaviors that can be observed in the context of the employee's current position and are considered predictive of performance at the next higher level. Based on your observations of the employee's performance, rate EVERY appraisal factor. Use the following scale in making the ratings. Place the number
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LOW RANGE |
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CENTRAL RANGE |
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HIGH RANGE |
1. |
Very Poor |
4. |
Slightly Below Fully Successful |
7. |
Above Fully Successful |
2. |
Far Below Fully Successful |
5. |
Fully Successful |
8. |
Far Above Fully Successful |
3. |
Below Fully Successful |
6. |
Slightly Above Fully Successful |
9. |
Outstanding |
1. WORK EFFORT:
Exerts effort and shows initiative in starting, carrying out and completing tasks; spends time effectively performing work.
2. ADAPTABILITY TO WORK:
Picks up new ideas and procedures quickly; is easy to instruct; can adapt to the demands of new situations; understands and carries out oral or written instructions.
3. PROBLEM SOLVING:
Devises effective solutions to problems or identifies effective methods and procedures for accomplishing objectives.
4. WORKING RELATIONSHIPS:
Sensitive to the behavior of fellow workers, supervisors and subordinates; maintains effective working relationships with others.
5. COMMUNICATION: |
Communicates clearly and effectively, whether orally or in writing. |
6. WORK PRODUCTIVITY: |
Productive during work time; completes his/her work projects, duties and tasks in a timely manner. |
7.
Works independently with little need for additional supervision or help; follows through well; accomplishes all tasks required to complete a job on his/her own.
8. SKILL IN WORK:
Performs
9. WORK MANAGEMENT:
Effectively plans and organizes work; properly follows or implements management procedures, directives, regulations, or technical orders; ability to direct or evaluate or substitute for absent supervisor.
PRIVACY ACT STATEMENT
Authority: 10 U.S.C. 8013 and Executive Order 9397.
Purpose: The social security number is needed to correctly identify the employee.
Routine Use: This information may be disclosed to another agency if the employee transfers to another agency.
Disclosure is Voluntary: However, without it, it may affect the ability to accurately identify the employee and the records.
AF FORM 860A, 19990701, V3 (REVERSE)