Town of Middletown Elections are held the first Monday in March. Three Town Council member seats are up for election on the even years and the Mayor and three Town Council member seats are up for election on the odd years.

On March 4, 2019, Kenneth L. Branner, Jr. (who had only write-in opponents) was elected mayor. Aaron Blythe, Drew Chas, and James D. Royston were elected to town council. A total of 502 votes were cast.

Middletown residents who live within the incorporated limits and are at least 18 years old can vote in Middletown municipal elections. Proof of address such as a driver’s license or ID card or a current bank or bill statement is required.