DA Form 2166-8 - Free Download
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DA Form 2166-8
DA Form 2166-8
NCO EVALUATION REPORT
For use of this form, see AR 623-205; the proponent agency is ODCPER
SEE PRIVACY ACT STATEMENT
IN AR 623-205, APPENDIX C.
PART I – ADMINISTRATIVE DATA
a.NAME (Last, First, Middle Initial) b.SSN c. RANK d. DATE OF RANK e. PMOSC
f. UNIT, ORG., STATION, ZIP CODE OR APO, MAJOR COMMAND g. REASON FOR SUBMISSION
g. PERIOD COVERED
j. RATED
MONTHS
k. NON-
RATED
CODES
1.NO. OF
ENCL
m. RATED NCO COPY (Check one and date) n.PSB
INITIAL
o. CMB
CODE
p. PSB
CODE
FROM THRU 1. Given to NCO Date
YYYY MM YYYY MM 2. Forwarded to NCO
PART II – AUTHENTICATION
a.NAME OF RATER (Last, First, MI) SSN SIGNATURE
RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT DATE
b.NAME OF SENIOR RATER (Last, First, MI) SSN SIGNATURE
RANK PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT DATE
c. Rated NCO; I understand my signature does not constitute agreement or disagreement with the
evaluations of the rater and senior rater. I further understand my signature
verifies that the administrative data in Part I, the rating officials in Part II, the duty
description to include the counseling dates in Pat III, and the APFT and
height/weight entries in PART Ivc are correct. I have seen the report completed
through Part V, except Parts Iid and Iie. I am aware of the appeals process of AR
623-205.
SIGNATURE DATE
d. NAME OF REVIEWER (Last, First, Middle Initial) SSN SIGNATURE
RANK, PMOSC/BRANCH, ORGANIZATION, DUTY ASSIGNMENT DATE
e. CONCUR WITH RATER AND SENIOR RATER EVALUATIONS NONCONCOUR WITH RATER AN/OR SENIOR RATER EVAL (See attached comments)
PART III – DUTY DESCRIPTION (Rater)
a.PRINCIPAL DUTY TITLE b.DUTY MOSC
c. DAILY DUTIES AND SCOPE (To include, as appropriate, people, equipment, facilities and dollars)
d. AREAS OF SPECIAL EMPHASIS
e. APPOINTED DUTIES
f. COUNSELING DATES INITIAL LATER LATER LATER
PART IV – ARMY VALUES/ATTRIBUTES/SKILLS/ACTIONS (Rater)
a. ARMY VALUES. Check either “YES” or “NO”. Comments are mandatory for “No” entries; optional for “Yes” entries. YES NO
1. LOYALTY: Bears true faith and allegiance to the U.S. Constitutions, the Army, the unit, and other soldiers
2. DUTY: Fulfills their obligations.
3. RESPECT/EO/EEO: Treats people as they should be treated.
4. SELFLESS-SERVICE: Puts the welfare of the nation, the Army, and subordinates before their own.
5. HONOR: Lives up to all the Army values.
6. INTEGRITY: Does what is right – legally and morally.
7. PERSONAL COURAGE: Faces fear, danger, or adversity (physical and moral).
Bullet comments
DA FORM 2166-8, OCT 2001 REPLACES DA FORM 2166-7, SEP 87, WHICH IS OBSOLETE USAPA V1.00
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