COMPLETING THE FORM: Line (1). Fill in your current address.Next, provide your previous address and any other residence locations. You can obtain a Declaration of Domicile form at the Records, Taxes and Treasury Division, Broward County Governmental Center Room 114, 115 S. Andrews Ave. You can pick up the form for Declaration of Domicile at the City Clerk's Office in City Hall, Room 101. D. Show All Answers. 1. Choose your county below for a downloadable Declaration of Domicile for Broward County, Miami-Dade County, Palm Beach County, or Collier County. Our mission is to help people make progress through access to better learning. Letter ( November 7, 2013), I apologize for the tardiness of submitting the electronic data required for attaining the.