AF Form 912 "Enlisted Performance Report (CMSgt)"

What Is AF Form 912?

This is a legal form that was released by the U.S. Air Force on May 29, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 29, 2015;
  • The latest available edition released by the U.S. Air Force;
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  • Fill out the form in our online filing application.

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ENLISTED PERFORMANCE REPORT (CMSgt)
PRIVACY ACT STATEMENT
AUTHORITY: Title 10 United States Code (U.S.C.) 8013, Secretary of the Air Force; AFI 36-2406, and Executive Order 9397 (SSN), as amended.
PURPOSE: Used to document effectiveness/duty performance history; promotion; school and assignment selection; reduction-in-force; control roster;
reenlistment; separation; research and statistical analysis.
ROUTINE USES: May specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3). DoD Blanket Routine Uses apply.
DISCLOSURE: Mandatory. Not providing SSN may cause form to not be processed or to positively identify the person being evaluated.
SORN: F036 AF PC A, Effectiveness/Performance Reporting Records
I. RATEE IDENTIFICATION DATA ( Refer to AFI 36-2406 for instructions on completing this form)
1. NAME (Last, First, Middle Initial)
2. SSN
3. RANK
4. DAFSC
5. ORGANIZATION, COMMAND, AND LOCATION
6. PAS CODE
7. SRID
8. REASON FOR REPORT
9. TAFMSD (RegAF) / PAY DT (ARC) (DD Mmm YYYY)
10. PERIOD OF REPORT (DD Mmm YYYY)
11. NO. DAYS SUPERVISION
12. HYT (DD Mmm YYYY)
Thru:
From:
13. DUTY TITLE
II. RATER'S PERFORMANCE ASSESSMENT
(Consider performance in such areas as mission accomplishment, resource utilization, team building, mentorship compliance
and enforcement of standards, communication skills, training, and fostering a healthy unit climate/duty environment. Comments are highly encouraged when making CCM
recommendations.
1. COMMENTS (Minimum 2 lines when Referral, otherwise optional provided "Line Intentionally Left Blank" is inserted. Highly encouraged when making CCM recommendations)
III. RATER INFORMATION (Signature signifies this is an unbiased assessment and all ACA sessions were completed, as required by AFI 36-2406).
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
IV. SENIOR RATER'S PERFORMANCE ASSESSMENT
CONCUR
NON-CONCUR
Consider performance in such areas as mission accomplishment, resource utilization, team building, mentorship, communication skills, compliance and enforcement of
standards, training, and fostering a healthy unit climate/duty environment. Raters/Senior Raters are encouraged to include cumulative 5 line comments in Sections II and IV.
1. COMMENTS (Mandatory when Referral, otherwise optional. Highly encouraged when making CCM recommendations*)
2. CONSIDER FOR HIGHER RESPONSIBILITY
3. RECOMMENDED FUTURE ROLES
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
V. FUNCTIONAL EXAMINER/AIR FORCE ADVISOR
FUNCTIONAL EXAMINER
AIR FORCE ADVISOR
(Indicate applicable review by marking the appropriate box)
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
VI. RATEE'S ACKNOWLEDGEMENT
I understand my signature does not constitute agreement or disagreement. I acknowledge feedback, Formal/Informal was accomplished during the reporting period and upon
receipt of this report.
SIGNATURE
DATE
PRIVACY ACT INFORMATION: The information in this form is
AF FORM 912, 20150529, V2
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.
ENLISTED PERFORMANCE REPORT (CMSgt)
PRIVACY ACT STATEMENT
AUTHORITY: Title 10 United States Code (U.S.C.) 8013, Secretary of the Air Force; AFI 36-2406, and Executive Order 9397 (SSN), as amended.
PURPOSE: Used to document effectiveness/duty performance history; promotion; school and assignment selection; reduction-in-force; control roster;
reenlistment; separation; research and statistical analysis.
ROUTINE USES: May specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3). DoD Blanket Routine Uses apply.
DISCLOSURE: Mandatory. Not providing SSN may cause form to not be processed or to positively identify the person being evaluated.
SORN: F036 AF PC A, Effectiveness/Performance Reporting Records
I. RATEE IDENTIFICATION DATA ( Refer to AFI 36-2406 for instructions on completing this form)
1. NAME (Last, First, Middle Initial)
2. SSN
3. RANK
4. DAFSC
5. ORGANIZATION, COMMAND, AND LOCATION
6. PAS CODE
7. SRID
8. REASON FOR REPORT
9. TAFMSD (RegAF) / PAY DT (ARC) (DD Mmm YYYY)
10. PERIOD OF REPORT (DD Mmm YYYY)
11. NO. DAYS SUPERVISION
12. HYT (DD Mmm YYYY)
Thru:
From:
13. DUTY TITLE
II. RATER'S PERFORMANCE ASSESSMENT
(Consider performance in such areas as mission accomplishment, resource utilization, team building, mentorship compliance
and enforcement of standards, communication skills, training, and fostering a healthy unit climate/duty environment. Comments are highly encouraged when making CCM
recommendations.
1. COMMENTS (Minimum 2 lines when Referral, otherwise optional provided "Line Intentionally Left Blank" is inserted. Highly encouraged when making CCM recommendations)
III. RATER INFORMATION (Signature signifies this is an unbiased assessment and all ACA sessions were completed, as required by AFI 36-2406).
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
IV. SENIOR RATER'S PERFORMANCE ASSESSMENT
CONCUR
NON-CONCUR
Consider performance in such areas as mission accomplishment, resource utilization, team building, mentorship, communication skills, compliance and enforcement of
standards, training, and fostering a healthy unit climate/duty environment. Raters/Senior Raters are encouraged to include cumulative 5 line comments in Sections II and IV.
1. COMMENTS (Mandatory when Referral, otherwise optional. Highly encouraged when making CCM recommendations*)
2. CONSIDER FOR HIGHER RESPONSIBILITY
3. RECOMMENDED FUTURE ROLES
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
V. FUNCTIONAL EXAMINER/AIR FORCE ADVISOR
FUNCTIONAL EXAMINER
AIR FORCE ADVISOR
(Indicate applicable review by marking the appropriate box)
NAME, GRADE, BRANCH OF SERVICE, ORGN, CMD AND LOCATION
DUTY TITLE
DATE
SSN
SIGNATURE
VI. RATEE'S ACKNOWLEDGEMENT
I understand my signature does not constitute agreement or disagreement. I acknowledge feedback, Formal/Informal was accomplished during the reporting period and upon
receipt of this report.
SIGNATURE
DATE
PRIVACY ACT INFORMATION: The information in this form is
AF FORM 912, 20150529, V2
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.
VII. REMARKS (Only use this section to spell out uncommon acronyms used on the form.)
VIII. REFERRAL REPORT (Complete only if report contains referral comments or the overall Performance Assessment and/or consider for higher responsibility
block(s) is marked as "Do Not Retain")
I am referring this EPR to you according to AFI 36-2406, para 1.10. It contains comments(s)/ratings(s) that make(s) the report a referral as defined in AFI 36-2406, para 1.10.
Specifically,
Acknowledge receipt by signing and dating below. Your signature merely acknowledges that a referral report has been rendered; it does not imply acceptance of, or agreement
with the ratings or comments on the report. Once signed, you are entitled to a copy of this memo. You may submit rebuttal comments. Send your written comments to:
not later than 3 calendar days (30 for non-EAD members) from your date below. If you need additional time, you may request an extension only from the individual named above.
You may submit attachments (limit to 10 pages), but they must directly relate to the reason this report was referred. Pertinent attachments not maintained elsewhere in your
official record will remain attached to the report for file in your personnel record. Copies of previous reports, etc., submitted as attachments will be removed from your rebuttal
package prior to filing since these documents are already filed in your records. Your rebuttal comments/attachments may not contain any reflection on the character, conduct,
integrity, or motives of the evaluator unless you can fully substantiate and document them. Contact the Military Personnel Section (MPS) or the Air Force Total Service Center
(TFSC) if you require any assistance in preparing your reply to the referral report. It is important for you to be aware that receiving a referral report may affect your eligibility of
other personnel related actions (e.g. assignments, promotions, etc.). You may consult your commander and/or MPS or TFSC if you desire more information on this subject. If you
believe this report is inaccurate, unjust, or unfairly prejudicial to your career, you may request to appeal this report under AFI 36-2406, Chapter 10, Correction of Officer and
Enlisted Evaluation Reports, once the report becomes a matter of record as defined in AFI 36-2406, Attachment 1.
NAME, GRADE, BRANCH OF SERVICE OF REFERRING EVALUATOR
DUTY TITLE
DATE
SIGNATURE
SIGNATURE OF RATEE
DATE
INSTRUCTIONS
Complete this report IAW AFI 36-2406. Negative comments require the EPR to be referred IAW AFI 36-2406. Comments are mandatory for any non-concur marking in Section
IV. Senior Rater's Section IV "Groom" recommendation(s) alone does not constitute a referral EPR. If ratee is deployed, provide a copy and provide feedback via email and/or
telecon.
PRIVACY ACT INFORMATION: The information in this form is
AF FORM 912, 20150529, V2
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.
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