What must all children placed in out of home care have on file?

All the answer options are documents that are important for a child to have on file, however, the only one that is required for all children placed in out of home care is updated photos. The other options, such as birth certificate, medical records, and letter from their teacher, may be important to have on file for various reasons, but they are not necessary for every child in out of home care. Updated photos are important for identification and safety purposes and should always be kept on file for children in out of home care.