Form 150-101-190 (OR-PS) Care Provider Statement - Oregon

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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).

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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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