The DA Form 7223, known as the Base System Civilian Evaluation Report, plays a crucial role in the appraisal and development of civilian employees within the military domain. It encompasses comprehensive administrative data, including the employee's name, position title, series, grade, and the period covered by the evaluation. Distinct sections capture reasons for submission, such as annual or special evaluations, and detailed performance feedback areas. This form facilitates structured communication between supervisors and employees, detailing daily duties, special emphasis areas, performance, and the employee’s adherence to core values such as loyalty, duty, respect, selfless service, honor, integrity, and personal courage. Moreover, it differentiates performance into categories like technical competence, adaptability, initiative, working relationships, communications, responsibility, dependability, supervision, leadership, and commitment to Equal Employment Opportunity (EEO) and affirmative action principles. The evaluation process culminates with an authenticated review by raters, including an optional senior rater, signifying a comprehensive approach to assessing and enhancing the capabilities of civilian personnel in support of military objectives.
Question | Answer |
---|---|
Form Name | Da Form 7223 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | da form 7223, da 7223, da7223, civilian evaluation pdf |
BASE SYSTEM CIVILIAN EVALUATION REPORT
For use of this form, see AR
PART I - ADMINISTRATIVE DATA
a. NAME (Last, First, Middle Initial) |
|
|
|
|
|
|
|
|
b. POSITION TITLE, PAY PLAN, SERIES AND GRADE |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
c. ORGANIZATION/INSTALLATION |
|
|
|
|
|
|
|
|
|
|
|
d. REASON FOR SUBMISSION |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ANNUAL |
|
SPECIAL |
|
|
|
e. PERIOD COVERED (YYYYMMDD) |
|
f. RATED MOS. |
|
|
|
|
|
g. RATEE COPY (Check one and date) |
|
|
||||||||||
FROM |
THRU |
|
|
|
|
|
|
GIVEN TO RATEE |
|
|
|
FORWARDED TO RATEE |
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
PART II - AUTHENTICATION |
|
|
|
|
|
|
|
|
|||||||
a. NAME OF RATER (Last, First, Middle Initial) |
|
|
|
|
SIGNATURE |
|
|
|
DATE (YYYYMMDD) |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
b. NAME OF INTERMEDIATE RATER (Optional)(Last, First, MI) |
|
SIGNATURE |
|
|
|
DATE (YYYYMMDD) |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
c. NAME OF SENIOR RATER (Last, First, Middle Initial) (If used) |
|
SIGNATURE |
|
|
|
DATE (YYYYMMDD) |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
d. RATEE: I understand my signature does not constitute |
|
SIGNATURE OF RATEE |
|
|
|
DATE (YYYYMMDD) |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
agreement or disagreement with the evaluations of the Rater |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
and Senior Rater, and merely verifies Part I and Part IV data. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
PART III - PERFORMANCE AWARD/QUALITY STEP INCREASE |
|
|
|
|
|
|||||||||||||
PERCENT OF SALARY( INCLUDES Locality Pay) |
|
% (OR) |
AWARD APPROVED BY |
|
|
|
|
|
||||||||||||
AMOUNT $ |
|
|
|
|
|
(OR) |
|
|
|
|
|
|
|
|
|
|||||
QSI (GS with Successful Level 1 Rating Only - minimum of 52 weeks |
|
|
DATE (YYYYMMDD) |
|
|
FUND CITE |
|
|
|
|
|
|||||||||
must have elapsed since last QSI) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TO (Grade/Step) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PART IV - DUTY DESCRIPTION (Rater) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. DAILY DUTIES AND SCOPE (To include as appropriate: people, equipment, facilities, and dollars) . Position Description is correct: |
|
|
YES |
NO |
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. AREAS OF SPECIAL EMPHASIS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
c. |
COUNSELING DATES FROM |
|
INITIAL |
|
|
|
LATER (Optional) |
MIDPOINT |
|
LATER (Optional) |
|
|
||||||||
|
CHECKLIST/RECORD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PART V - VALUES (Rater) |
|
|
|
|
|
|
|
|
|||||||
|
VALUES |
BULLET COMMENTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Loyalty |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Duty |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Respect |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selfless service |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Honor |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Integrity |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Personal courage |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DA FORM 7223, MAR 2010 |
PREVIOUS EDITIONS ARE OBSOLETE. |
APD LC v1.00ES |
|
RATEE'S NAME (Last, First, Middle Initial) |
|
|
|
THRU DATE |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. RESPONSIBILITIES |
|
|
|
Specific bullet examples of other than "SUCCESS," are mandatory. |
|||
|
|
|
|
|
|
Specific bullet examples of "SUCCESS" are optional but encouraged. |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1. TECHNICAL COMPETENCE |
|
|
|
|
|
|
||||
|
Technical knowledges, skills, abilities |
|
|
|
|
|||||
|
Doing work right/on time |
|
|
|
|
|
|
|||
|
Sound judgement |
|
|
|
|
|
|
|||
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|
||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|
||||||
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
2. ADAPTABILITY AND INITIATIVE |
|
|
|
|
||||||
|
Adjusting to change - situations/people |
|
|
|
|
|||||
|
Trying new things |
|
|
|
|
|
|
|||
|
Seeking |
|
|
|
|
|
|
|||
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|
||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|
||||||
|
|
|
|
|||||||
|
|
|
|
|||||||
3. WORKING RELATIONSHIPS & COMMUNICATIONS |
|
|
|
|||||||
|
Supporting team |
|
|
|
|
|
|
|||
|
Respecting others |
|
|
|
|
|
|
|||
|
Expressing ideas clearly |
|
|
|
|
|
|
|||
|
Listening/understanding |
|
|
|
|
|
|
|||
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|
||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|
||||||
|
|
|
|
|||||||
|
|
|
|
|
||||||
4. RESPONSIBILITY AND DEPENDABILITY |
|
|
|
|
||||||
|
Dependable/reliable |
|
|
|
|
|
|
|||
|
Maintaining facilities/equipment |
|
|
|
|
|||||
|
Conserving supplies/time |
|
|
|
|
|
|
|||
|
People/equipment safety |
|
|
|
|
|
|
|||
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|
||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|
||||||
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Numbers 5 and 6 apply to positions with some supervisory duties |
|||||
5. SUPERVISION AND LEADERSHIP |
|
|
|
|
||||||
|
Mission focused/performance oriented |
|
|
|
|
|||||
|
Sets standard/Leads by example |
|
|
|
|
|||||
|
Motivating/developing others |
|
|
|
|
|
|
|||
|
Implementing DA emphasis programs/managing |
|
|
|
||||||
|
resources |
|
|
|
|
|
|
|
|
|
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|||||||
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
6. EEO AND AFFIRMATIVE ACTION |
|
|
|
|
||||||
|
Respecting dignity |
|
|
|
|
|
|
|||
|
Achieving planned actions |
|
|
|
|
|
|
|||
|
Providing opportunity |
|
|
|
|
|
|
|||
|
Solving problems |
|
|
|
|
|
|
|||
|
EXCELLENCE |
SUCCESS |
NEEDS |
|
FAILS |
|||||
|
(Exceeds std) |
(Meets std) |
IMPROVEMENT |
|||||||
|
|
|
|
|||||||
|
|
|
|
|
|
|
||||
|
|
PART VI |
or |
|
|
PART VII - SENIOR RATER (If used) |
||||
|
|
|
RATER (no senior rater used) |
|
|
|||||
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|||
|
OVERALL PERFORMANCE |
|
|
|
|
|
BULLET COMMENTS (Performance/Potential) |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUCCESSFUL FAIR UNSUCCESSFUL
(MUST Have Senior
Rater Review)
A completed DA Form
|
YES |
NO (Explain) |
|
|
|
REVERSE, DA FORM 7223, MAR 2010
APD LC v1.00ES