The original Board consisted of nine members and was appointed by the County Commission. In 2001, Resolution Number 601-64 established the current model for the District's Board of Directors. Ex-officio permanent seats on the board are established for the Hamilton County Sheriff, the County Mayor, the Mayor of the largest municipality, and the Fire and Police Chiefs of the largest municipality. It further provides for an 11-member Board, who serve four years on staggered terms.
Information on board meetings can be found here.