RSOB - 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 to initiate a criminal history background check through the Federal Bureau of Investigation for applicants or employees being considered for positions with the U.S. Capitol Police or other federal agencies. The applicant completes sections 1-18, providing personal identification information including name, address, employer, position to be filled, contact details, physical descriptors (gender identity, race, height, weight, eye color, hair color), date of birth, birthplace, social security number, and citizenship status. The applicant must also provide other names ever used and sign a release authorizing use of their information for security determination purposes, certifying they are authorized to work in the United States and that all provided information is true and complete.

The authorized requestor section (sections 19-25) is completed by the individual or agency requesting the background check, requiring their name, agency, position/title, telephone number, and date of request. The requestor verifies the applicant's authorization to work and compliance with the Immigration Reform and Control Act of 1986. The form must be accompanied by a valid, non-expired government-issued photo identification presented in person at 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 Badging and Credentialing Division completes section 26, documenting the individual conducting the records check, the date of the check, FBI number if applicable, and identity documentation reviewed.