Sanibel Fire Rescue District is governed by an elected board of commissioners who are elected to serve by the people. The Board is elected at large by the voting public who reside within the District boundaries; meaning that each voter in the district may vote for all of the commissioners to be elected.

Board members serve a four year term; there is no limit to how many terms a board member may serve. Candidates for the Board must reside and be registered to vote in the district. The board is the legislative body of the district. They determine the policies by which the district operates.