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.
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.
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:
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.