DA Form 7223 Base System Civilian Evaluation Report

What Is DA Form 7223?

DA Form 7223, Base System Civilian Evaluation Report is a form for rating the achievements of civilian employees under the Total Army Performance Evaluation System (TAPES).

The latest version of the form - sometimes incorrectly referred to as the DD Form 7223 - was released by the Department of the Army (DA) in March 2010. An up-to-date DA Form 7223 fillable version is available for download and digital filing below or can be found through the Army Publishing Directorate website.

The DA 7223 is a form related to the DA Form 7223-1, Base System Civilian Performance Counseling Checklist/Record, used for recording performance reviews and expectations related to the employee's performance, as well as documenting future performance plans.

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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)
FORWARDED TO RATEE
FROM
THRU
GIVEN 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 (Last, First, Middle Initial)
SIGNATURE
DATE (YYYYMMDD)
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT
c. NAME OF SENIOR RATER (Last, First, Middle Initial)
SIGNATURE
DATE (YYYYMMDD)
(If used)
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT
SIGNATURE OF RATEE
DATE (YYYYMMDD)
d. RATEE: I understand my signature does not constitute
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
% (OR) AWARD APPROVED BY
PERCENT OF SALARY (INCLUDES Locality Pay)
(OR)
AMOUNT
$
QSI (GS with Successful Level 1 Rating Only - minimum of 52 weeks must
DATE (YYYYMMDD)
FUND CITE
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
INITIAL
LATER (Optional)
MIDPOINT
LATER (Optional)
c.
COUNSELING DATES FROM
CHECKLIST/RECORD
PART V - VALUES (Rater)
BULLET COMMENTS
VALUES
Loyalty
Duty
Respect
Selfless service
Honor
Integrity
Personal courage
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v2.02ES
Page 1 of 2
DA FORM 7223, MAR 2010
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)
FORWARDED TO RATEE
FROM
THRU
GIVEN 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 (Last, First, Middle Initial)
SIGNATURE
DATE (YYYYMMDD)
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT
c. NAME OF SENIOR RATER (Last, First, Middle Initial)
SIGNATURE
DATE (YYYYMMDD)
(If used)
GRADE/RANK, ORGANIZATION, DUTY ASSIGNMENT
SIGNATURE OF RATEE
DATE (YYYYMMDD)
d. RATEE: I understand my signature does not constitute
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
% (OR) AWARD APPROVED BY
PERCENT OF SALARY (INCLUDES Locality Pay)
(OR)
AMOUNT
$
QSI (GS with Successful Level 1 Rating Only - minimum of 52 weeks must
DATE (YYYYMMDD)
FUND CITE
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
INITIAL
LATER (Optional)
MIDPOINT
LATER (Optional)
c.
COUNSELING DATES FROM
CHECKLIST/RECORD
PART V - VALUES (Rater)
BULLET COMMENTS
VALUES
Loyalty
Duty
Respect
Selfless service
Honor
Integrity
Personal courage
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v2.02ES
Page 1 of 2
DA FORM 7223, MAR 2010
THRU DATE
RATEE'S NAME (Last, First, Middle Initial)
Specific bullet examples of other than "SUCCESS," are mandatory.
b. RESPONSIBILITIES
Specific bullet examples of "SUCCESS" are optional but encouraged.
1. TECHNICAL COMPETENCE
EXCELLENCE
SUCCESS
NEEDS
(Exceeds std)
(Meets std)
IMPROVEMENT
FAILS
2. ADAPTABILITY AND INITIATIVE
Adjusting to change - situations/people
Trying new things
Seeking self-development
EXCELLENCE
SUCCESS
NEEDS
(Exceeds std)
(Meets std)
IMPROVEMENT
FAILS
3. WORKING RELATIONSHIPS & COMMUNICATIONS
Supporting team
Respecting others
Expressing ideas clearly
Listening/understanding
NEEDS
EXCELLENCE
SUCCESS
(Exceeds std)
(Meets std)
IMPROVEMENT
FAILS
4. RESPONSIBILITY AND DEPENDABILITY
Dependable/reliable
Maintaining facilities/equipment
Conserving supplies/time
People/equipment safety
NEEDS
EXCELLENCE
SUCCESS
IMPROVEMENT
FAILS
(Exceeds std)
(Meets std)
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
(Exceeds std)
(Meets std)
IMPROVEMENT
FAILS
6. EEO AND AFFIRMATIVE ACTION
Respecting dignity
Achieving planned actions
Providing opportunity
Solving problems
EXCELLENCE
SUCCESS
NEEDS
(Exceeds std)
(Meets std)
IMPROVEMENT
FAILS
PART VI - SENIOR RATER (if used) or
PART VII - SENIOR RATER (If used)
RATER (no senior rater used)
BULLET COMMENTS (Performance/Potential)
OVERALL PERFORMANCE
1
2
3
4
5
SUCCESSFUL
FAIR
UNSUCCESSFUL
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 v2.02ES
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Download DA Form 7223 Base System Civilian Evaluation Report

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DA Form 7223 Instructions

All filing information and guidelines for the DA 7223 can be found in the Army Regulation 690-400, Chapter 4302 Total Army Performance Evaluation System, released in October 1998.

  1. Part I - Administrative Data - requires personal information of the rated individual, including their full name, position title, pay plan, series and grade, the name of the organization or installation and the reason for submitting the form (either an annual evaluation or special performance).
  2. Part II - Authentication - should provide an authentication of the raters performing the evaluation. This includes specifying their name, grade, rank, organization, and duty assignment. The form provides three boxes for a maximum of three raters: the main rater, an intermediate rater, and a senior rater. This part of the DA 7223 should also have a signature of the evaluated individual to verify that the data given in Parts I and IV is correct.
  3. Part III of the DA Form 7223 - Performance Award/Quality Step Increase - should provide information on the monetary amount of award or a raise to another grade or step.
  4. Part IV - Duty Description - should be completed with a full description of the duty performed by the evaluated employee. It includes the description and scope of their daily duties, areas of special emphasis and the correct counseling dates.
  5. Part V - Values - starts with a list of seven core Army values: loyalty, duty, respect, selfless service, honor, integrity, personal courage. Part V provides a space for any additional bullet comments and is filled out by the senior rater.
    • Section B of Part V contains an evaluation of the employee's skills. Those include their technical competence, adaptability and initiative, working relationships and communications, and their overall responsibility and dependability.
    • Personnel in positions with supervisory duties are also rated on their supervision and leadership, EEO and affirmative action.
  6. Part VI provides an evaluation of the employee's overall performance. This part is filed by a senior rater (if used) or the main rater (if no senior raters took part in the evaluation).
  7. Part VII is for the senior rater's commentary and notes on the employee's performance.
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