California Welfare And Institutions Code Section 16503.5

(a) A placing agency shall provide a caregiver placement agreement to the child`s caregiver at the time of the child`s placement with that caregiver. (b) For purposes of this part, caregiver placement agreement means a written agreement between the placing agency and the child`s caregiver. The department shall approve the format and content of the placement agreement form to be used by a placing agency. (c) The agreement shall describe the terms and conditions of the placement and any agreements made by the placing agency and the child` s caregiver. (d) The agreement shall provide, at a minimum, the contact information for the placing agency`s social worker and the worker`s supervisor, including, but not limited to, telephone numbers, facsimile numbers, and identifying information about the child, including, but not limited to, the child`s social security number, if available, the child`s Medi-Cal number or group health plan number and information, if available, and the child`s State Department of Social Services identification number. (e) A county placing agency may modify the forms to meet local needs by adding to the form requirements for information, but may not delete the form`s core elements as determined by the department.