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

This is a Request for Check of Criminal History Records form (CP-491) issued by the United States Capitol Police. The form is used by applicants seeking employment or position-related opportunities requiring federal background clearance to submit their personal information for Federal Bureau of Investigation criminal history record checks as part of the security determination process.

The form requires applicants to complete sections 1-18, providing biographical information including name, address, current employer, position to be filled, alternative names used, telephone number, date of birth, birthplace, Social Security number, citizenship, gender, race, physical descriptors (height, weight, eye color, hair color), and applicant signature with date. Applicants must provide a valid non-expired government-issued photo identification and bring it to the United States 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 must complete sections 19-25, which require the authorized requestor's name, agency, position/title, telephone number, date of request, signature, and date. The form includes legal acknowledgments and consents required before signing, including verification of authorization to work in the United States and certification that all provided information is true, correct, complete, and provided in good faith. Page 2 contains fields for the Badging and Credentialing Division to document the date the check was conducted, FBI number (if applicable), and the document establishing identity.