Witness: ( Signature of the Proposer). The document is an application form for a cancer insurance policy.It requests basic personal details like name, date of birth, contact information. NCFlex Cancer Insurance Documents: Plan Details, Claims and Other Forms, Certificates, Additional Cancer Plan Information Find out what coverages are available under your present health care policy if you are diagnosed with cancer. Full Name (Max 40. Char). This document contains a proposal form for LIC's Cancer Cover Plan. The D090 form includes what. LPAs need, including office supplies. Instructions for completing and submitting your claim are on the form.