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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 150-101-190 (OR-PS)
for the current year.
Form 150-101-190 (OR-PS) Care Provider Statement - Oregon
What Is Form 150-101-190 (OR-PS)?
This is a legal form that was released by the Oregon Department of Revenue - a government authority operating within Oregon. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form 150-101-190 (OR-PS)?A: Form 150-101-190 (OR-PS) is the Care Provider Statement used in Oregon.
Q: Who needs to fill out Form 150-101-190 (OR-PS)?A: Form 150-101-190 (OR-PS) needs to be filled out by care providers in Oregon.
Q: What information is required on Form 150-101-190 (OR-PS)?A: Form 150-101-190 (OR-PS) requires information about the care provider, the patient, and the services provided.
Q: Are there any fees associated with Form 150-101-190 (OR-PS)?A: No, there are no fees associated with Form 150-101-190 (OR-PS).
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Oregon Department of Revenue;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 150-101-190 (OR-PS) by clicking the link below or browse more documents and templates provided by the Oregon Department of Revenue.
Download Form 150-101-190 (OR-PS) Care Provider Statement - Oregon
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