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. Full Name (Max 40. Char). Allegheny County, Orphans' Court Division (No. 02-13-00413). 3. Order of the Court upon consideration of the Petition to Approve issued January 24,2013. LIC's Cancer Cover (Plan No. 905, UIN : 512N314V02). This document contains a proposal form for LIC's Cancer Cover Plan. These forms will be useful when filing required documents related to estates of deceased or incapacitated persons. Area Covered: This water management plan (WMP) applies to water sources located or to be utilized in the following oil and gas districts.