Lake West Ambulance is governed by a 6-member Board of Directors.

Each Board Member is elected by the citizens of his/her sub-district. Elected Board Members serve a 3-year term.

Sub-Districts are an equally divided (by population) portion of the District.  

If at any time a Board Member can not fullfil his/her term, the remaining Board Members may choose an individual from the represented sub-district to fullfil the remainder of the term. Should the Lake West Board of Directors be unable to find an individual to take the vacant seat, the County Clerk will appoint someone from that sub-district.