St. Charles County Ambulance District is divided into six election districts of equal size (in terms of population). One Director is elected from each election district for a three-year term. The six-member Board of Directors holds the legislative and executive powers of the District.
|District||Director||Position||Serving Since||Current Term Expires|
|1||Kenny Biermann||Director||April 2021||April 2024|
|2||Raymond 'Bud' Bauer||Secretary/Treasurer||April 2013||April 2025|
|3||James Cooke||Director||July 2014||April 2024|
|4||Teresa Reynolds||Vice Chairman||October 2015||April 2025|
|5||John Whitworth||Director||June 2022||April 2023|
|6||Ronald Reguly||Chairman||November 2013||April 2023|