15a. CPP ID Instr.pdf

Procedures for Obtaining a CPP ID

Forms can be typed (preferable, they are fillable), if you choose to handwrite, they must be printed & legible. Requests normally take 24-48 hrs for CPP processing. When forms are signed, contractors can go to the Fairchild Building at 499 South Capitol Street, SW, Room 127, Washington, DC 20003 (located right behind the Capitol Power Plant) for fingerprinting. Once the contractor is fingerprinted and pending a clean background check, they can usually pick their badge up the next day but it is best to call to verify it is ready, 202-593-1545. CPP badges are for 1 calendar year, start date should be the date the form is signed by contractor, expiration date should be 12/31/end of current year.

Applicable forms needed (DRAFT example included)

� CP-491 (fillable) must be 1/21 version, CPP will fill out sections 18-24 � CP-254B (fillable), CPP will fill out sections 10-15, � Color copy of a valid government issued ID (driver’s license, state or government issued

ID, passport) � ACM Notice (can be handwritten)

� E-Verify User Audit Report

E-Verify is a program through Homeland Security for work eligibility. It is internet based and free. If your company has done any government contracts, your HR dept. should be familiar with it. If not, the website is below, it will take you step-by-step of how to enroll and request a number and User Audit Report for an individual.

The E-Verify number is 15 digits and should start with the year it was requested and ends with 2 letters. EX: 2013123456789HP

E-Verify website: www.uscis.gov

PLEASE DO NOT SUBMIT INCOMPLETE PACKAGES, ALL

HIGHLIGHTED AREAS ON THE DRAFT EXAMPLE MUST BE FILLED

OUT AND ALL DOCUMENTATION MUST BE ATTACHED BEFORE

SUBMITTING.

http://www.uscis.gov/

CP-254B

(04/11) UNITED STATES CAPITOL POLICE

BUILDING ACCESS CARD REQUEST

(Please Type or Print Legibly)

NEW HIRE VENDOR (Please check one)

VALID PHOTO IDENTIFICATION MUST BE PRESENTED PRIOR TO PROCESSING

1. NAME (LAST, FIRST, MI) please print 2. LAST 4 DIGITS OF SSN xxx-xx-

3. BUREAU 4. DIVISION

5. VENDOR 6. VENDOR ADDRESS

7. VENDOR TELEPHONE NUMBER 8. STARTING DATE

(Vendor ID’s only)

9. EXPIRATION DATE

(Vendor ID’s only)

THIS SECTION TO BE COMPLETED BY PERSONNEL AUTHORIZING ISSUANCE OF BUILDING

ACCESS CARD

10. NAME (LAST, FIRST, MI) please print 11. SIGNATURE

12. BUREAU 13. DIVISION 14. TITLE/AGENCY 15. TELEPHONE NUMBER

By accepting this Identification Card, I understand that this card is the property of the United States Capitol Police. I acknowledge that I am responsible for the correct use of the card, am not authorized to be in possession of more than one card at any given time, and that I am required to surrender the card immediately upon the expiration of the card, or my termination of employment.

By signing the form below, I acknowledge that I have read and understand all of the above listed terms, and have agreed that I will comply with said terms.

16. SIGNATURE OF CARDHOLDER 17. DATE

THIS SECTION TO BE COMPLETED BY ID SECTION ONLY

18. CARD NUMBER ISSUED 19. SIGNATURE 20. DATE

DRAFT

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CP-491

(01/21) UNITED STATES CAPITOL POLICE

REQUEST FOR CHECK OF CRIMINAL HISTORY RECORDS

(Please Type or Print Legibly)

INSTRUCTIONS

• APPLICANT – Complete Sections 1- 17 of this form.

• APPLICANT’S AGENCY – Complete sections 18-24 of this form.

• Bring this form along with a valid (non-expired) government-issued photo identification that officially establishes your identity to the

United States Capitol Police Badging and Credentialing Division located in the Fairchild Building, 499 South Capitol Street, SW, Room 127, Washington, DC 20003.

1. NAME (Last, First, Middle)

2. ADDRESS (Complete Address)

3. EMPLOYER 4. OTHER NAMES EVER USED (e.g. maiden name, nickname, etc.). If you have never used another name write “None”

5. TELEPHONE

NUMBER

6. DATE OF

BIRTH (mm/dd/yyyy)

7. BIRTHPLACE

(City /State/ Country)

8. SOCIAL

SECURITY #

9. COUNTRY OR

CITIZENSHIP

10. GENDER IDENTITY 11. RACE 12. HEIGHT 13. WEIGHT 14. EYE COLOR 15. HAIR COLOR

SIGNATURE AND RELEASE OF INFORMATION: READ THE FOLLOWING CAREFULLY BEFORE SIGNING

• I understand that the information provided above will be used to check the criminal history records of the Federal Bureau of

Investigation.

• I consent to the use of the information provided above in making a security determination concerning me.

• I certify that I am authorized to work in the United States and if requested can provide legal documents supporting my certifications.

• I acknowledge by my signature below that any falsification of the information provided and or the use, possession, or representation of any false identification by me is subject to prosecution and penalties.

• I certify that to the best of my knowledge and belief, all the information provided above is true, correct, complete, and made in good faith.

16. APPLICANT SIGNATURE 17. DATE (mm/dd/yyyy)

AUTHORIZED REQUESTOR

To be filled out by the individual Authorized to Request that the Applicant submit to a Criminal History Records check.

18. NAME (Last, First, Middle) please print 19. AGENCY

20. POSITION/TITLE 21. TELEPHONE NUMBER 22. DATE OF REQUEST

I request that the applicant/employee indicated above be fingerprinted by the United States Capitol Police and that these fingerprints be submitted for a check of the criminal history records of the Federal Bureau of Investigation. This check will be used in making a security determination concerning this applicant/employee. I have verified that the applicant is authorized to legally work within the United States in accordance with the federal government hiring provisions of the Immigration Reform and Control Act of 1986 (Pub. L. 603), as amended, applicable Form I-9 requirements, and any executed Memorandum of Understanding with the United States Capitol Police regarding Requests for Criminal History Record Information by Congressional Employing Offices.

23. SIGNATURE 24. DATE (mm/dd/yyyy)

BADGING AND CREDENTIALING DIVISION

25. INDIVIDUAL CONDUCTING

RECORDS CHECK

26. DATE CHECK

CONDUCTED

27. FBI # (If none, write none”)

28. DOCUMENT

ESTABLISHING IDENTITY

DRAFT

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