The District is governed by its Board of Trustees. The Board consists of four members, each of whom serves a three-year term and who are appointed as follows:

• by the Mayor of the City of Martins Ferry, Ohio;
• by the Mayor of the Village of Bellaire, Ohio;
• by the Mayor of the Village of Brookside, Ohio;
• by the Mayor of the Village of Bridgeport, Ohio.

The Board meets on the second Wednesday of each month in regular public meetings to discuss and determine policy and to act upon resolutions presented by the District’s staff.