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Form OR-PS, Care Provider Statement, 150-101-190 - oregon 2026
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How to use or fill out Form OR-PS, Care Provider Statement, 150-101-190 - Oregon
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the taxpayer's name(s) and Letter ID at the top of the form. If you do not have a Letter ID, input your Social Security number instead.
- Fill in the date range for which care was provided, specifying 'Date from' and 'Date to'.
- List each dependent's first and last name along with the total payment received for their care. Ensure all amounts are accurately recorded.
- Indicate how often you were paid (monthly, weekly, etc.) and specify the payment method used (cash, check, etc.).
- Complete the provider declaration section by signing and dating the form. Include your daytime phone number and address where services were provided.
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