DA Form 67-10-2 "Field Grade Plate (O4 - O5; Cw3 - Cw5) Officer Evaluation Report"

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DA Form 67-10-2, Field Grade Plate (O4-O5; CW3-CW5) Officer Evaluation Report, is a document used for providing the Department of Army Headquarters (HQDA) with information about the rated officers' competence, mental and physical condition, and potential for promotion.

This form was previously revised by the Department of the Army (DA) on March 1, 2019, with all previous editions being obsolete. An up-to-date fillable DA Form 67-10-1 is available for download below.

The DA 67-10-2 is used to assess the performance of officers ranked major (MAJ) through lieutenant colonel (LTC) and chief warrant officer three (CW3) through chief warrant officer five (CW5).

What Is DA Form 67-10-2?

Starting on April 1, 2014, the U.S. Army introduced a new system of officer evaluation reporting to a new format to analyze and rate officer performance with regards to their rank. The DA 67-10-2 - along with the whole DA 67-10 series - replaced the outdated DA 67-9 series, which used a universal rating form for all Army officer ranks.

The form - sometimes referred to as the DA Form 67 for short - should not be confused with the DD Form 67, Form Processing Action Request. This form is used to request a cancellation or revision of an existing Department of Defense (DoD) form or to add a new one to the DoD inventory.

The report is prepared by the rating chain, which includes the rater and the senior rater, sometimes, if needed, an intermediate rater takes part in the evaluation. The process includes supervision, a written self-assessment, a performance assessment, and a face-to-face discussion.

The report will be forwarded to the Department of Army Headquarters (HQDA). During the preparation of the report, a supporting DA 67-10-1A Form is used. The rated officer has to fill it out with a description of their duties and a self-assessment of six criteria. The officer evaluation report support form will not be forwarded to HQ since it is used only as a medium in the preparation of the officer evaluation report.

DA Form 67-10-2 Instructions

Part I is for providing administrative data about the rated officer, unit data, the number of months rated, non-rated time codes and the reason for submitting of the FGP-OER (Field Grade Plate Officer Evaluation Report).
Part II is for authentication by the rated officer and rating officials and is filed at the end of the rating period when the report has been completed in full. The officer evaluation report cannot be forwarded to HQDA until the THRU date listed on the form.
Part III provides a duty description of the rated officer. Part IV assesses overall performance, professionalism, and adherence to the Army's core leader competencies.
Part V is filed only in an intermediate rater is participating in the evaluation process.
Part VI includes an assessment of the rated officer's potential by a senior rater.

DA 67-10-2 Related Forms:

DA Form 67-10-1, Company Grade Plate (O1-O3; WO1-CW2) Officer Evaluation Report, is a report form closely related to the DA 67-10-2. The form is used when evaluating officers ranked first and second lieutenant, captains, warrant officers one and chief warrant officers two;
DA Form 67-10-1A, Officer Evaluation Report Support Form, is a form used as a medium for the report by the rating chain. The supporting form allows the rated officer to evaluate themselves. The raters give feedback and set personal goals to improve future performance. The rated officer will receive a copy of this form at the beginning of the rating period and submit it before face-to-face discussions;
DA Form 67-10-3, Strategic Grade Plate (O6) Officer Evaluation Report, is another evaluation report used only when evaluating colonels;
DA Form 67-10-4, Strategic Grade Plate General Officer Report, is another report form used only when evaluating a Brigadier General - "General" for short - or higher.

Download DA Form 67-10-2 "Field Grade Plate (O4 - O5; Cw3 - Cw5) Officer Evaluation Report"

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HQDA#:

FIELD GRADE PLATE (O4 - O5; CW3 - CW5) OFFICER EVALUATION REPORT

See Privacy Act

Statement in AR 623-3.

For use of this form, see AR 623-3; the proponent agency is DCS, G-1.

PART I - ADMINISTRATIVE (Rated Officer)

a. NAME (Last, First, Middle Initial)

b. SSN (or DOD ID No.)

c. RANK

d. DATE OF RANK

e. BRANCH f. COMPONENT

(YYYYMMDD)

(Status Code)

h. UIC

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

i. REASON FOR SUBMISSION

j. PERIOD COVERED

k. RATED

l. NON RATED

m. NO. OF

n. RATED OFFICER'S EMAIL ADDRESS (.gov or .mil)

MONTHS

CODES

ENCLOSURES

FROM (YYYYMMDD)

THRU (YYYYMMDD)

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

a1. NAME OF RATER (Last, First, Middle Initial)

a2. SSN (or DOD ID No.)

a3. RANK

a4. POSITION

a6. RATER SIGNATURE

a7. DATE (YYYYMMDD)

a5. EMAIL ADDRESS (.gov or .mil)

b1. NAME OF INTERMEDIATE RATER (Last, First, Middle Initial)

b3. RANK

b4. POSITION

b2. SSN (or DOD ID No.)

b6. INTERMEDIATE RATER SIGNATURE

b7. DATE (YYYYMMDD)

b5. EMAIL ADDRESS (.gov or .mil)

c1. NAME OF SENIOR RATER (Last, First, Middle Initial)

c2. SSN (or DOD ID No.)

c3. RANK

c4. POSITION

c5. SENIOR RATER'S ORGANIZATION

c6. BRANCH c7. COMPONENT

c9. EMAIL ADDRESS (.gov or .mil)

c8. SENIOR RATER PHONE NUMBER

c10. SENIOR RATER SIGNATURE

c11. DATE (YYYYMMDD)

e1. RATED OFFICER SIGNATURE

e2. DATE (YYYYMMDD)

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

Referred

Yes, comments are attached

f2. NAME OF REVIEWER (Last, First, Middle Initial)

f1. Supplementary Review Required?

Yes

f3. RANK

f4. POSITION

f5. Comments Enclosed

f6. SUPPLEMENTARY REVIEWER SIGNATURE

f7. DATE (YYYYMMDD)

PART III - DUTY DESCRIPTION

a. PRINCIPAL DUTY TITLE

b. POSITION AOC/BRANCH

c. SIGNIFICANT DUTIES AND RESPONSIBILITIES

PART IV - PERFORMANCE EVALUATION - PROFESSIONALISM, COMPETENCIES, AND ATTRIBUTES (Rater)

a. APFT Pass/Fail/Profile:

Date:

Height:

Weight:

Within Standard?

Comments required for "Failed" APFT, or "Profile" when it precludes performance of duty, and "No" for Army Weight Standards?

b. THIS OFFICER POSSESSES SKILLS AND QUALITIES FOR THE FOLLOWING BROADENING ASSIGNMENTS

c. THIS OFFICER POSSESSES SKILLS AND QUALITIES FOR THE FOLLOWING OPERATIONAL ASSIGNMENTS

d1. Character:

(Adherence to Army Values, Empathy, and

Warrior Ethos/Service Ethos and Discipline.

Fully supports SHARP, EO, and EEO.)

Page 1 of 2

DA FORM 67-10-2, MAR 2019

APD LC v1.00ES

HQDA#:

FIELD GRADE PLATE (O4 - O5; CW3 - CW5) OFFICER EVALUATION REPORT

See Privacy Act

Statement in AR 623-3.

For use of this form, see AR 623-3; the proponent agency is DCS, G-1.

PART I - ADMINISTRATIVE (Rated Officer)

a. NAME (Last, First, Middle Initial)

b. SSN (or DOD ID No.)

c. RANK

d. DATE OF RANK

e. BRANCH f. COMPONENT

(YYYYMMDD)

(Status Code)

h. UIC

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

i. REASON FOR SUBMISSION

j. PERIOD COVERED

k. RATED

l. NON RATED

m. NO. OF

n. RATED OFFICER'S EMAIL ADDRESS (.gov or .mil)

MONTHS

CODES

ENCLOSURES

FROM (YYYYMMDD)

THRU (YYYYMMDD)

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

a1. NAME OF RATER (Last, First, Middle Initial)

a2. SSN (or DOD ID No.)

a3. RANK

a4. POSITION

a6. RATER SIGNATURE

a7. DATE (YYYYMMDD)

a5. EMAIL ADDRESS (.gov or .mil)

b1. NAME OF INTERMEDIATE RATER (Last, First, Middle Initial)

b3. RANK

b4. POSITION

b2. SSN (or DOD ID No.)

b6. INTERMEDIATE RATER SIGNATURE

b7. DATE (YYYYMMDD)

b5. EMAIL ADDRESS (.gov or .mil)

c1. NAME OF SENIOR RATER (Last, First, Middle Initial)

c2. SSN (or DOD ID No.)

c3. RANK

c4. POSITION

c5. SENIOR RATER'S ORGANIZATION

c6. BRANCH c7. COMPONENT

c9. EMAIL ADDRESS (.gov or .mil)

c8. SENIOR RATER PHONE NUMBER

c10. SENIOR RATER SIGNATURE

c11. DATE (YYYYMMDD)

e1. RATED OFFICER SIGNATURE

e2. DATE (YYYYMMDD)

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

Referred

Yes, comments are attached

f2. NAME OF REVIEWER (Last, First, Middle Initial)

f1. Supplementary Review Required?

Yes

f3. RANK

f4. POSITION

f5. Comments Enclosed

f6. SUPPLEMENTARY REVIEWER SIGNATURE

f7. DATE (YYYYMMDD)

PART III - DUTY DESCRIPTION

a. PRINCIPAL DUTY TITLE

b. POSITION AOC/BRANCH

c. SIGNIFICANT DUTIES AND RESPONSIBILITIES

PART IV - PERFORMANCE EVALUATION - PROFESSIONALISM, COMPETENCIES, AND ATTRIBUTES (Rater)

a. APFT Pass/Fail/Profile:

Date:

Height:

Weight:

Within Standard?

Comments required for "Failed" APFT, or "Profile" when it precludes performance of duty, and "No" for Army Weight Standards?

b. THIS OFFICER POSSESSES SKILLS AND QUALITIES FOR THE FOLLOWING BROADENING ASSIGNMENTS

c. THIS OFFICER POSSESSES SKILLS AND QUALITIES FOR THE FOLLOWING OPERATIONAL ASSIGNMENTS

d1. Character:

(Adherence to Army Values, Empathy, and

Warrior Ethos/Service Ethos and Discipline.

Fully supports SHARP, EO, and EEO.)

Page 1 of 2

DA FORM 67-10-2, MAR 2019

APD LC v1.00ES

HQDA#:

SSN (or DOD ID No.)

NAME

PERIOD COVERED:

FROM (YYYYMMDD)

THRU (YYYYMMDD)

d2. Provide narrative comments which demonstrate performance regarding field grade competencies and attributes in the Rated Officer’s current duty position. (i.e.

demonstrates excellent presence, confidence and resilience in expected duties and unexpected situation, adjusts to external influence on the mission or taskings and organization,

prioritizes limited resources to accomplish mission, proactive in developing others through individual coaching counseling and mentoring, active learner to master organizational level

knowledge, critical thinking and visioning skills, anticipates and provides for subordinates on–the-job needs for training and development, effective communicator across echelons and

outside the Army chain of command, effective at engaging others, presenting information and recommendations and persuasion, highly proficient at critical thinking, judgment and

innovation, proficient in utilizing Army design method and other to solve complex problems, uses all influence techniques to empower others; proactive in gaining trust in negotiations,

remains respectful, firm and fair. Fully supports SHARP and creates a positive command/workplace environment.)

COMMENTS:

e. This Officer's overall Performance is Rated as: (Select one box representing Rated Officer's overall performance compared to others of the same grade whom you have rated in your

career. Managed at less than 50% in EXCELS.)

I currently rate

Army Officers in this grade.

A completed DA Form 67-10-1A was received with this report and considered in my evaluation and review:

Yes

No (explain in comments below)

EXCELS (49%)

PROFICIENT

CAPABLE

UNSATISFACTORY

Comments:

PART V - INTERMEDIATE RATER