Da Form 67-9-1 - Officer Evaluation Report Support Form

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OFFICER EVALUATION REPORT SUPPORT FORM
For use of this form, see AR 623-105; the proponent agency is ODCSPER
Read Privacy Act Statement on Reverse before Completing this form
PART I - RATED OFFICER IDENTIFICATION
NAME OF RATED OFFICER (Last, First, MI)
RANK
ORGANIZATION
PART II - RATING CHAIN - YOUR RATING CHAIN FOR THE EVALUATION PERIOD IS:
NAME
RANK
POSITION
RATER
NAME
RANK
POSITION
INTERMEDIATE
RATER
NAME
RANK
POSITION
SENIOR RATER
PART III - VERIFICATION OF FACE-TO-FACE DISCUSSION
MANDATORY RATER / RATED OFFICER INITIAL FACE-TO-FACE COUNSELING ON DUTIES, RESPONSIBILITIES AND PERFORMANCE OBJECTIVES FOR THE
(Date)
Rated Officer Initials
Rater Initials
CURRENT RATING PERIOD TOOK PLACE ON
Senior Rater Initials
(Review)
PERIODIC RATER / RATED OFFICER FOLLOW-UP FACE-TO-FACE COUNSELINGS:
Dates
Rated Officer Initials
Rater Initials
Senior Rater Initials
(Review)
PART IV - RATED OFFICER
(Complete a, b, and c below for this rating period)
PRINCIPAL DUTY TITLE
POSITION AOC / BR
a. STATE YOUR SIGNIFICANT DUTIES AND RESPONSIBILITIES
b. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES
DA FORM 67-9-1, OCT 97
REPLACES DA FORM 67-8-1, FEB 85, WHICH IS OBSOLETE, 1 OCT 97
USAPA V1.01

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