J.19 USCP Request for Check of Criminal History-Form CP-491 (May 2025).pdf

This is a United States Capitol Police form (CP491) for requesting a criminal history records check.

The form serves as an application for individuals seeking employment or assignment with the United States Capitol Police and requires completion by both the applicant and the employing agency. Applicants must complete sections 1-18, providing personal identification information including name, address, employer, position to be filled, physical descriptors (height, weight, eye color, hair color), date of birth, birthplace, social security number, country or citizenship, gender identity, and race. Applicants must also bring valid government-issued photo identification to the Capitol Police Badging and Credentialing Division located at the Fairchild Building, 499 South Capitol Street, SW, Room 127, Washington, DC 20003. The applicant's agency completes sections 19-25, which require the authorized requestor's name, agency affiliation, position/title, telephone number, and date of request. The form includes a signature and release section wherein the applicant certifies that all provided information is true, correct, and complete; consents to the use of information for security determinations; acknowledges authorization to work in the United States; and understands that any falsification of information is subject to prosecution and penalties. The Badging and Credentialing Division completes section 26, documenting the individual conducting the records check, the date check was conducted, the FBI number (if applicable), and the identity document establishing the applicant's identity.