DA Form 67-10-1 Company Grade Plate (O1 - O3; Wo1 - Cw2) Officer Evaluation Report

What Is DA Form 67-10-1?

The DA Form 67-10-1 also known as the Company Grade Plate (O1-O3; WO1-CW2) Officer Evaluation Report is a document used for providing the Department of Army Headquarters (HQDA) with useful and valuable information about a rated officers' competence and potential for promotion.

The DA 67-10-1 is used for the assessment of first and second lieutenants, captains, warrant officers WO1 and chief warrant officers CW2.

This edition of the form released by the Department of Army (DA) in November 2015 and is valid and in use today. An up-to-date fillable version of the DA 67-10-1 is available for download below.

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 cancel an existing Department of Defense form, to make changes to an existing form or to add a new one to the DoD inventory.

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HQDA#:
See Privacy Act
COMPANY GRADE PLATE (O1 - O3; WO1 - CW2) OFFICER EVALUATION REPORT
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)
a3. RANK
a4. POSITION
a2. SSN (or DOD ID No.)
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)
c3. RANK
c4. POSITION
c2. SSN (or DOD ID No.)
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)
d. This is a referred report, do you wish to make comments?
e1. RATED OFFICER SIGNATURE
e2. DATE (YYYYMMDD)
Referred
Yes, comments are attached
No
f1. Supplementary Review Required?
f2. NAME OF REVIEWER (Last, First, Middle Initial)
Yes
No
f3. RANK
f4. POSITION
f5. Comments Enclosed
f6. SUPPLEMENTARY REVIEWER SIGNATURE
g. MSAF Date (YYYYMMDD)
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:
Weight:
Within Standard?
Height:
Comments required for "Failed" APFT, or "Profile" when it precludes performance of duty, and "No" for Army Weight Standards?
b. 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.
Yes
No (explain in comments below)
A completed DA Form 67-10-1A was received with this report and considered in my evaluation and review:
EXCELS (49%)
PROFICIENT
CAPABLE
UNSATISFACTORY
Comments:
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DA FORM 67-10-1, NOV 2015
APD LC v1.00ES

Download DA Form 67-10-1 Company Grade Plate (O1 - O3; Wo1 - Cw2) Officer Evaluation Report

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DA Form 67-10-1 Instructions

Part I is for entering the required administrative data and providing the rated officer's personal information, unit data, number of rated months and the reason for submission of the report.

Part II, Authentication is for authentication by the rated officer and rating officials at the end of the rating period. The rated officer must sign the report after authentication by the rating officials. All signatures must be on the form 14 days prior to its THRU date.

Part III describes the duties of the rated officer. The officials in charge of the rating process are responsible for ensuring that that description is complete, factual and correct.

Part IV includes an assessment of a rated officer's core leader competencies, overall performance, and adherence to Army values.

Part V of the CGP-OER is completed if and when an intermediate rater participates in the rating process.

Part VI provides the senior rater's assessment potential of the rated officer. The CGP-OER cannot be forwarded to the Department of the Army Headquarters until the THRU date listed on the DA 67-10-1.

DA 67-10-1 Related Forms

  1. The DA Form 67-10-1A or the Officer Evaluation Report Support Form is assisting the rating chain in preparing the report by the rated officers self-evaluation. This form has six criteria: character, presence, intellect, leads, develops, achieves plus a self-development goals field, filled by the rater. The rated officer fills it at the beginning of the rating period and submits at the beginning of face-to-face discussions.
  2. The DA Form 67-10-2 or the Field Grade Plate (O4-O5; CW3-CW5) Officer Evaluation Report is a report form, analogous to DA 67-10-1, but used when evaluating officers ranked major, lieutenant colonel, and chief warrant officers from three to five.
  3. The DA Form 67-10-3 or the Strategic Grade Plate (O6) Officer Evaluation Report is also a report form but used when evaluating colonels. Everything stated above also refers to this form.
  4. The DA Form 67-10-4 or the Strategic Grade Plate (O7) General Officer Report is a report used to evaluate a Brigadier General - "General" for short - or higher.

Officer Evaluation Report

The U.S. Army changed their officer evaluation reporting system to a new format on April 1, 2014. The DA Form 67-10-1 - otherwise known as the CGP-OER - and other forms in the DA 67-10 series replaced the DA 67-9 Form, which was a universal evaluation form for officers of all ranks. The new reporting forms were diversified to analyze and rate officer performances in a manner more in line with Army doctrine.

The officer evaluation report is prepared by the rating chain, which includes a rater, a senior rater, and sometimes an intermediate rater. The process includes supervision, writing a self-assessment, a performance assessment conducted by the raters over a period of time and a face-to-face interview.

The completed DA 67-10-1 is forwarded to the HQDA. The rated officer must file a supporting DA 67-10-1A Form during the preparation of the report. It includes a description of duties and a self-assessment in six parts. This form is no forwarded to the HQDA since it is used only as a medium for the preparation of the actual report.

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