DA 67-10-1A: Officer Evaluation Report Support Form
The OER support form (MAR 2019): administrative data, rating chain, face-to-face counseling verification, duties, performance objectives and accomplishments by attribute and competency, and self-development goals.
Every block on the DA Form 67-10-1A
Laid out block for block like the official OFFICER EVALUATION REPORT SUPPORT FORM (MAR 2019 edition), with the instruction for each block. Name, rank, and unit prefill from your service profile.
Part i - administrative (Rated Officer)
- aName (Last, First, Middle Initial)
- bSSN (or DOD ID No.)
- cGrade/Rank
- dDate of Rank (YYYYMMDD)
- eBranch
- fComponent (Status Code)
- gUnit, Org., Station, ZIP Code or APO, Major Command
- hUIC Code
- iThru Date of Last Completed Evaluation
- jRated Officer's Email Address (.gov or .mil)
Part ii - authentication
- a1Name of Rater (Last, First, Middle Initial)
- a2SSN (or DOD ID No.)
- a3Rank
- a4Position
- a5Email Address (.gov or .mil)
- b1Name of Intermediate Rater (Last, First, Middle Initial)
Only if your rating chain has an intermediate rater.
- b2SSN (or DOD ID No.)
- b3Rank
- b4Position
- b5Email Address (.gov or .mil)
- c1Name of Senior Rater (Last, First, Middle Initial)
- c2SSN (or DOD ID No.)
- c3Rank
- c4Position
- c5Email Address (.gov or .mil)
- c6Senior Rater's Organization
- c7Branch
- c8Component
- c9Senior Rater Phone Number
- d1Individual to Perform Supplementary Review (Last, First, Middle Initial) - (If Required)
- d2Rank
- d3Position
- d4Email Address (.gov or .mil)
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 Current Rating Period Took Place On (Date)
The rated officer, rater, and senior rater initial beside this date on the signed form.
- Rated Officer Access to Support Forms Prior to Initial Counseling: Rater (Date)
- Senior Rater (Date)
- Periodic Rater/Rated Officer Follow-Up Face-to-Face Counselings: Dates
Three follow-up rows on the form, each initialed by the rated officer, rater, and senior rater.
Part iv - rated officer - duties and responsibilities
- aPrincipal Duty Title
- bPosition AOC/Branch
- cState Your Significant Duties and Responsibilities
Part v - performance objectives and accomplishments
- aIndicate Your Major Performance Objectives
- bList Significant Contributions and Accomplishments
Part v - performance objectives and accomplishments continued (Describe adherence to leadership attributes and demonstration of competencies)
- A. Character (Army Values, Empathy, Warrior Ethos/Service Ethos, Discipline): Indicate Your Major Performance Objectives
- List Significant Contributions and Accomplishments
- B. Presence (Military and professional bearing, Fitness, Confidence, Resilience): Indicate Your Major Performance Objectives
The printed caption adds safety, individual and unit deployment readiness, and support of behavioral health goals (AR 623-3) under fitness and resilience.
- List Significant Contributions and Accomplishments
- APFT Goals: PU, SU, Run, Height/Weight (Only as Needed)
The MAR 2019 form still prints APFT events. Enter your Army Fitness Test goals.
- C. Intellect (Mental agility, Sound judgment, Innovation, Interpersonal tact, Expertise): Indicate Your Major Performance Objectives
- List Significant Contributions and Accomplishments
- D. Leads (Leads others, Builds trust, Extends influence beyond the chain of command, Leads by example, Communicates): Indicate Your Major Performance Objectives
- List Significant Contributions and Accomplishments
- E. Develops (Creates a positive environment/Fosters esprit de corps, Prepares self, Develops others, Stewards the profession): Indicate Your Major Performance Objectives
- List Significant Contributions and Accomplishments
- F. Achieves (Gets Results): Indicate Your Major Performance Objectives
- List Significant Contributions and Accomplishments
Part vi - rater self development goals
- Self Development Goals
Goals beyond your current assignment: broadening, advanced civil schooling, functional area, or goals from a multi-source (MSAF) assessment.
Part vii - senior rater comments
- Senior Rater Comments
- Rated Soldier - Signature and Date
How to fill out the DA Form 67-10-1A
The rated officer's plan and record for one rating period: significant duties, major performance objectives, and accomplishments organized by the Army leadership requirements model. The rater and senior rater use it to counsel and to write the OER. The form points to the Privacy Act statement in AR 623-3. When: Draft it before the initial face-to-face counseling (within 30 days of the start of the rating period), update it at each follow-up counseling, and complete the accomplishments before the thru date.
Step by step
- Part I: your name, DoD ID, grade, date of rank, branch, component, unit, UIC, the thru date of your last evaluation, and .mil email.
- Part II: rater, intermediate rater (if any), senior rater, and supplementary reviewer (if required), with positions and emails.
- Part III: record the initial face-to-face counseling date, when you got access to the rater's and senior rater's support forms, and each follow-up counseling.
- Part IV: principal duty title, position AOC/branch, and your significant duties and responsibilities.
- Part V: your major performance objectives and your significant contributions, then objectives and accomplishments for each attribute and competency (Character through Achieves).
- Part VI: self-development goals beyond your current job (broadening, schooling). Part VII is for senior rater comments. Sign and date.
What a strong one looks like
- Write objectives tied to your commander's priorities, with a measure and a date.
- Quantify accomplishments (readiness rates, dollars, people trained) and say what changed for the unit.
- The MAR 2019 form still asks for APFT goals; enter your AFT event goals.
Common mistakes
- A support form written the week the OER is due, with no record of counseling dates.
- Listing duties instead of results in Part V.
- Wrong thru date of last evaluation, which creates a gap in your evaluation history.