The Emergency Telephone District Board was created in December 1997 by the Monroe County Board of Commissioners as part of the 9-1-1 Service Plan and is presently known as the Monroe County 9-1-1 District Board.  The board oversees Monroe County Central Dispatch which is the only Public Safety Answering Point (PSAP) for Monroe County. 

In 2001, the County commissioned a space planning study to develop a conceptual plan to move the Central Dispatch Center from its former location on the 2nd floor of the Monroe County Jail to a new site. The new site would be outside of the 10-Mile Emergency Planning Zone (EPZ) of the Enrico Fermi II Nuclear Power Plant.  This new site would move the 911 operation from where it had operated since 1981.   In June 2006, the County Board of Commissioners authorized the project to proceed and modified the concept to include space within the new facility for the Emergency Management Division. Landmark Design Architects were employed and charged with the task of designing a state-of-the-art Emergency Services Facility to serve the operations of Monroe County Central Dispatch and Emergency Management Division. 

Construction began in October of 2006 and substantial completion was achieved in January 2008. Emergency Management began operations in the facility on January 17, 2008, and Central Dispatch began operations on March 11, 2008.