Da Form 7223 PDF Details

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.

QuestionAnswer
Form NameDa Form 7223
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda form 7223, da 7223, da7223, civilian evaluation pdf

Form Preview Example

BASE SYSTEM CIVILIAN EVALUATION REPORT

For use of this form, see AR 690-400; the proponent agency is ASA(M&RA)

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 self-development

 

 

 

 

 

 

 

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 -SENIOR RATER (if used)

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 7223-1 was received with this report and considered in my evaluation and review:

 

YES

NO (Explain)

 

 

 

REVERSE, DA FORM 7223, MAR 2010

APD LC v1.00ES