Da Form 67 9 PDF Details

The DA Form 67-9, also known as the Officer Evaluation Report (OER), serves as a critical tool in assessing the performance and potential of officers in the United States Army. Crafted to ensure a comprehensive evaluation, this form covers a wide range of information, from basic administrative data to in-depth assessments of an officer's professional attributes, skills, and actions. With sections detailing personal identification, including name, social security number, rank, and branch, the form meticulously catalogs the officer's duties and responsibilities, providing a platform for superiors to evaluate performance based on Army values such as honor, integrity, and courage. Crucially, the evaluation extends to assessing leadership qualities, competence in various skills, and the officer's ability to influence, operate, and improve within their unit and the broader Army community. Additionally, the form requires raters to comment on the officer's physical fitness and potential for future service, ensuring that evaluations are holistic and forward-looking. Structured to foster objective and constructive feedback, the DA Form 67-9's rigorously designed sections aim to support the professional development of officers and guide decisions on promotions and assignments, ultimately shaping the leadership cadre of the Army.

QuestionAnswer
Form NameDa Form 67 9
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda 67 fill, da 67, performance da cpts, specific da 67

Form Preview Example

 

 

 

 

OFFICER EVALUATION REPORT

 

 

 

 

 

 

 

FOR OFFICIAL USE ONLY (FOUO)

 

 

For use of this form, see AR 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

 

 

 

 

c. RANK

d. DATE OF RANK (YYYYMMDD)

e. BRANCH

f. SPECIALTIESDESIGNATED / PMOS (W0)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g.1. UNIT, ORG., STATION, ZIP CODE OR APO, MAJOR COMMAND

 

 

 

 

 

 

 

 

 

g.2. STATUS CODE

 

h. REASON FOR SUBMISSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

i. PERIOD COVERED

 

 

j. RATED

k. NONRATED

l. NO. OF

m. RATED OFFICER'S AKO EMAIL ADDRESS

 

n. UIC

o. CMD

p. PSB

FROM (YYYYMMDD)

 

THRU (YYYYMMDD)

 

MONTHS

 

CODES

 

ENCL

 

 

 

 

(.gov or mil)

 

 

 

 

 

 

 

 

 

CODE

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART II - AUTHENTICATION (Rated officer's signature verifies officer has seen completed OER Parts I-VII and the admin data is correct)

 

 

 

 

 

 

a. NAME OF RATER (Last, First, MI)

 

 

SSN

 

 

 

RANK

 

 

 

 

POSITION

 

 

 

SIGNATURE

 

 

 

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. NAME OF INTERMEDIATE RATER (Last, First, MI)

 

SSN

 

 

 

RANK

 

 

 

 

POSITION

 

 

 

SIGNATURE

 

 

 

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. NAME OF SENIOR RATER (Last, First, MI)

 

SSN

 

 

 

RANK

 

 

 

 

POSITION

 

 

 

SIGNATURE

 

 

 

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SENIOR RATER'S ORGANIZATION

 

 

 

 

 

 

BRANCH

SENIOR RATER TELEPHONE NUMBER

 

E-MAIL ADDRESS (.gov or .mil)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. This is a referred report, do you wish to make comments?

 

e. SIGNATURE OF RATED OFFICER

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes, comments are attached

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III - DUTY DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. PRINCIPAL DUTY TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. POSITION AOC/BR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. SIGNIFICANT DUTIES AND RESPONSIBILITIES. REFER TO PART IVa, DA FORM 67-9-1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART IV - PERFORMANCE EVALUATION - PROFESSIONALISM (Rater)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHARACTER Disposition of the leader: combination of values, attributes, and skills affecting leader actions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. ARMY VALUES (Comments mandatory for all "NO" entries. Use PART Vb.)

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. HONOR: Adherence to the Army's publicly declared code of values

 

 

 

 

 

 

 

5. RESPECT: Promotes dignity, consideration, fairness, & EO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. INTEGRITY:Possesses high personal moral standards; honest in word and deed

 

 

 

 

 

 

 

6. SELFLESS-SERVICE: Places Army priorities before self

 

 

 

 

 

 

 

 

 

 

3. COURAGE: Manifests physical and moral bravery

 

 

 

 

 

 

 

 

 

 

 

 

 

7. DUTY: Fulfills professional, legal, and moral obligations

 

 

 

 

 

 

 

 

 

 

4. LOYALTY: Bears true faith and allegiance to the U.S. Constitution, the Army, the unit, and the soldier

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. LEADER ATTRIBUTES / SKILLS / ACTIONS: First, mark "YES" or "NO" for each block. Second, choose a total of six that best describe the rated officer. Select one from

 

 

 

 

 

 

ATTRIBUTES, two from SKILLS (Competence), and three from ACTIONS (LEADERSHIP). Place an "X" in the appropriate numbered box with optional comments in PART Vb.

 

 

 

 

 

 

 

 

 

 

Comments are mandatory in Part Vb for all "No" entries.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.1. ATTRIBUTES (Select 1)

 

1. MENTAL

 

 

 

 

 

 

 

 

 

 

 

2 .

 

PHYSICAL

 

 

 

 

 

 

3. EMOTIONAL

 

 

 

 

 

 

 

 

 

 

Fundamental qualities and

 

 

Possesses desire, will, initiative, and discipline

 

 

 

 

Maintains appropriate level of physical

 

Displays self-control; calm under pressure

characteristics

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

fitness and military bearing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.2 SKILLS (Competence)

 

1. CONCEPTUAL

 

 

 

 

 

 

 

 

 

 

2.

INTERPERSONAL

 

 

 

 

 

 

3. TECHNICAL

 

 

 

 

 

 

 

 

 

 

(Select 2)

 

 

Demonstrates sound judgment, critical/creative

 

 

 

 

Shows skill with people: coaching, teaching,

 

Possesses the necessary expertise to

 

 

 

 

 

 

Skill development is part of self-

 

thinking, moral reasoning

 

 

 

 

 

 

 

 

 

 

counseling, motivating and empowering

 

accomplish all tasks and functions

 

 

 

 

 

 

development; prerequisite to action

 

4. TACTICAL Demonstrates proficiency in required professional knowledge, judgment, and warfighting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.3. ACTIONS (LEADERSHIP) (Select 3) Major activities leaders perform: influencing, operating, and improving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFLUENCING

 

 

1. COMMUNICATING

 

 

 

 

 

 

 

 

 

 

2. DECISION-MAKING

 

 

 

 

 

 

3. MOTIVATING

 

 

 

 

 

 

 

 

 

 

Method of reaching goals while

 

Displays good oral, written, and listening skills for

 

Employs sound judgment, logical reasoning

 

Inspires, motivates, and guides others toward

operating / improving

 

 

individuals / groups

 

 

 

 

 

 

 

 

 

 

and uses resources wisely

 

 

 

 

 

 

mission accomplishment

 

 

 

 

 

 

OPERATING

 

 

4. PLANNING

 

 

 

 

 

 

 

 

 

 

5.

EXECUTING

 

 

 

 

 

 

6. ASSESSING

 

 

 

 

 

 

 

 

 

 

Short-term mission

 

 

Develops detailed, executable plans that are

 

 

 

 

Shows tactical proficiency, meets mission

 

Uses after-action and evaluation tools to

accomplishment

 

 

feasible, acceptable, and suitable

 

 

 

 

standards, and takes care of people/resources

 

facilitate consistent improvement

 

 

 

 

 

 

IMPROVING

 

 

7. DEVELOPING

 

 

 

 

 

 

 

 

 

 

8.

BUILDING

 

 

 

 

 

 

9. LEARNING

 

 

 

 

 

 

 

 

 

 

Long-term improvement in the Army

 

Invests adequate time and effort

to

develop

 

 

 

 

Spends time and resources improving teams,

 

Seeks self-improvement and

organizational

its people and organizations

 

 

individual subordinates as leaders

 

 

 

 

groups and units; fosters ethical climate

 

growth; envisioning, adapting and leading change

c. APFT:

 

DATE:

 

 

HEIGHT:

 

 

 

 

 

 

 

WEIGHT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. OFFICER DEVELOPMENT - MANDATORY YES OR NO ENTRY FOR RATERS OF CPTs, LTs, CW2s, AND WO1s.

WERE DEVELOPMENTAL TASKS RECORDED ON DA FORM 67-9-1a AND QUARTERLY FOLLOW-UP COUNSELINGS CONDUCTED?

DA FORM 67-9, OCT 2011

PREVIOUS EDITIONS ARE OBSOLETE.

Page 1 of 2

 

APD PE v1.01ES

Page 2 of 2 APD PE v1.01ES

NAME

SSN

PERIOD COVERED

PART V - PERFORMANCE AND POTENTIAL EVALUATION (Rater)

a. EVALUATE THE RATED OFFICER'S PERFORMANCE DURING THE RATING PERIOD AND HIS/HER POTENTIAL FOR PROMOTION

OUTSTANDING PERFORMANCE,

MUST PROMOTE

SATISFACTORY PERFORMANCE,

PROMOTE

UNSATISFACTORY PERFORMANCE,

DO NOT PROMOTE

OTHER

(Explain)

b. COMMENT ON SPECIFIC ASPECTS OF THE PERFORMANCE, REFER TO PART III, DA FORM 67-9 AND PART IVa, b, AND PART Vb, DA FORM 67-9-1.

c.COMMENT ON POTENTIAL FOR PROMOTION.

d.IDENTIFY ANY UNIQUE PROFESSIONAL SKILLS OR AREAS OF EXPERTISE OF VALUE TO THE ARMY THAT THIS OFFICER POSSESSES. FOR ARMY COMPETITIVE CATEGORY CPT ALSO INDICATE A POTENTIAL CAREER FIELD FOR FUTURE SERVICE.

PART VI - INTERMEDIATE RATER

PART VII -SENIOR RATER

a. EVALUATE THE RATED OFFICER'S PROMOTION POTENTIAL TO THE NEXT HIGHER GRADE

BEST QUALIFIED

FULLY

DO NOT PROMOTE

OTHER (

 

 

Explain below)

 

QUALIFIED

 

 

I currently senior rate

officer(s) in this grade

Acompleted DA Form 67-9-1 was received with this report and

considered in my evaluation and review YES NO (Explain in c)

b. POTENTIAL COMPARED WITH OFFICERS SENIOR RATED IN SAME GRADE (OVERPRINTED BY DA)

ABOVE CENTER OF MASS

(Less than 50% in top box; Center of

Mass if 50% or more in top box)

CENTER OF MASS

BELOW CENTER OF MASS

RETAIN

BELOW CENTER OF MASS

DO NOT RETAIN

c. COMMENT ON PERFORMANCE/POTENTIAL

d. LIST THREE FUTURE ASSIGNMENTS FOR WHICH THIS OFFICER IS BEST SUITED.

FOR ARMY COMPETITIVE CATEGORY CPT, ALSO INDICATE A POTENTIAL CAREER FIELD FOR FUTURE SERVICE.

DA FORM 67-9, OCT 2011