Purpose: To request domicile verification from a nonrelative who is familiar with the household's situation. To establish a new domicile, you need 1) a physical presence, and 2) a truthful, concurrent, intent of making the new state your permanent place of abode.1. Collect all necessary documentation supporting your domicile claim. How Do I Fill Out an Affidavit of Domicile? Besides filling out this form, the individual must provide two acceptable documents to support their claim of domicile. The applicant does live at my residence or receives services at the location listed above.