Historic 1992 Dick Clark Cast Insurance Archive

This museum-grade, fully executed Cast Insurance Legal Medical Affidavit—dated February 25, 1992—stands as an exceptional artifact of modern television history and network variety broadcasting archaeology. Personally hand-signed on the primary examinee validation line by legendary television host, master producer, and Rock and Roll Hall of Fame inductee Dick Clark, this legal instrument formalizes the mandatory cast medical clearance guidelines and risk-management underwriting required to protect network financial assets.

Executed during a defining retrospective window in his career—coinciding with the monumental four-decade celebration of his legendary rock and pop music showcase—this document captures the meticulous behind-the-scenes mechanics of Hollywood studio operations.

Production Specifications & Medical Disclosure Metrics

The affidavit establishes a binding legal clearance framework specifically structured to secure Clark's on-camera services for his flagship entertainment empire:

• The Production Link: Formally registers the corporate entity as dick clark productions for the historic network special tracking title: AMERICAN BANDSTAND 40th ANNIVERSARY.

• Examinee Biographical Metadata: Typewritten rows explicitly log the performer as Dick Clark, registering his nationality as U.S., birth date as 11/30/29, and his age as 62.

• Prisitine Health Disclosures: The central quadrant contains complex medical tracking checkboxes covering cardiovascular and respiratory history. Highlighting his famous status as "America's Oldest Teenager," every single row is uniformly marked under the negative "No" column, supported by a handwritten notation specifying a recent physical with Dr. Schiffman in Burbank as "ROUTINE" and "Normal".

• Underwriting Processing Stamps: Stamped in high-contrast purple ink under the date of February 28, 1992, the document carries the validation markers of the network insurance underwriters ("Ana Marie / Pren-AWR").

Autograph Pedigree & Clinical Endorsements

• Pristine Signature Specimen: Positioned flawlessly across the primary examinee line, the entertainment mogul hand-penned an absolute exhibition-quality signature: "Dick Clark". Written in clean, dark ink, it captures his classic cursive calligraphy, highlighted by a soaring capital "D" and capital "C" with elongated trailing horizontal loops. Clark further filled out his company's local address at 3003 West Olive Avenue in Burbank.

• Clinical Witness Validation: Immediately beneath his signature is the fluid script of an official witness. Adjacent fields house the examining physician's precise metrics, logging Clark’s general appearance as healthy and recording his exact vitals: Height: 5' 9" — Weight: 162 lb — B.P.: 128/84 — Pulse: 78, officially hand-authorized by the examining medical director.

Archival Condition

Dating back approximately thirty-five years, the original white medical bond document stock remains in magnificent, museum-quality vintage condition with sharp corners and clean margins. Clark’s signature, the underwriting stamps, and the clinical notations are flawlessly preserved with immense contrast. For strict compliance with modern data privacy metrics, highly sensitive individual location blocks and private physician tracking numbers have been neatly blacked out. This certified archive represents the absolute zenith of premium modern television heritage collecting.