Fill and Sign the Prenuptial Agreement Example Form

OFFICER EVALUATION REPORT SUPPORT FORM For use of this form, see AR 623-105; the proponent agency is ODCSPER Read Privacy Act Statement on Reverse before Completing this form PART I - RATED OFFICER IDENTIFICATION NAME OF RATED OFFICER (Last, First, MI) RANK ORGANIZATION PART II - RATING CHAIN - YOUR RATING CHAIN FOR THE EVALUATION PERIOD IS: RATER INTERMEDIATE RATER SENIOR RATER NAME RANK POSITION NAME RANK POSITION NAME RANK POSITION 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 (Date) Rated Officer Initials Rater Initials Senior Rater Initials CURRENT RATING PERIOD TOOK PLACE ON (Review) PERIODIC RATER / RATED OFFICER FOLLOW-UP FACE-TO-FACE COUNSELINGS: Rated Officer Initials Dates Rater Initials Senior Rater Initials (Review) PART IV - RATED OFFICER (Complete a, b, and c below for this rating period) PRINCIPAL DUTY TITLE POSITION AOC / BR a. STATE YOUR SIGNIFICANT DUTIES AND RESPONSIBILITIES b. INDICATE YOUR MAJOR PERFORMANCE OBJECTIVES DA FORM 67-9-1, OCT 97 REPLACES DA FORM 67-8-1, FEB 85, WHICH IS OBSOLETE, 1 OCT 97 USAPA V1.01 c. LIST YOUR SIGNIFICANT CONTRIBUTIONS SIGNATURE AND DATE PART V - RATER AND/OR INTERMEDIATE RATER (Review and comment on Part IVa, b, and c above). Insure remarks are consistent with your performance and potential evaluation on DA Form 67-9 a. RATER COMMENTS (Optional) SIGNATURE AND DATE (Mandatory) b. INTERMEDIATE RATER COMMENTS (Optional) SIGNATURE AND DATE (Mandatory) DATA REQUIRED BY THE PRIVACY ACT (U.S.C. 552a) 1. AUTHORITY: Sec 301 Title 5 USC; Sec 3012 Title 10 2. PURPOSE: DA Form 67-9, Officer Evaluation Report, serves as the primary source of information for officer personnel management decisions. DA Form 67-9-1, Officer Evaluation Support Form, serves as a guide for the rated officer's performance and development, enhances the accomplishment of the organization mission, and provides additional performance information to the rating chain. DA Form 67-9-1a, Junior Officer Developmental Support Form, serves as a common framework for Junior Officer Development and standardizes Junior Officer counseling. 3. ROUTINE USE: DA Form 67-9 will be maintained in the rated officer's Official Military Personnel File (OMPF) and Career Management Individual File (CMIF). A copy will be provided to the rated officer either directly or forwarded to the rated officer. DA Form 67-9-1 and DA Form 67-9-1a are for organizational use only and will be returned to the rated officer after review by the rating chain. 4. DISCLOSURE: Disclosure of the rated officer's SSN (Part I, DA Form 67-9) is voluntary. However, failure to verify the SSN may result in a delayed or erroneous processing of the officer's OER. Disclosure of the information in Part IV, DA Form 67-9-1 is voluntary. However, failure to provide the information requested will result in an evaluation of the rated officer without the benefits of that officer's comments. Should the rated officer use the Privacy Act as a basis not to provide the information requested in Part IV, the Support Form will contain the rated officer's statement to that effect and be forwarded through the rating chain in accordance with AR 623-105. DA FORM 67-9-1, OCT 97 (Reverse) USAPA V1.01