No matter which mail forwarder you choose, you'll have to fill out Postal Form 1583, Application for Delivery of Mail through Agent. 1. Open the e-District portal and log in.If you do NOT consider yourself domiciled in Arizona, present this form after completing Part 1 and Part 2 and signing at the bottom of Part 5 on the fifth page. Section R12-4-124 - Proof of Domicile A. An applicant may be required to present acceptable proof of domicile in Arizona to the Department upon request. I, M26, have been residing in Mumbai since my birth and have been issued a Domicile Certificate in June 2012 (For college admissions). How Do I Fill Out an Affidavit of Domicile? The easiest way to apply for benefits is online through Health-e-Arizona Plus. Domicile Certificate.