In addition to a statewide Board representing all 95 county highway departments across Tennessee, each of the state’s four regions have independent Boards to represent their areas of the state.
Annually, each region elects its own Board members and holds quarterly meetings for legislative and training updates.
Region I
| President | Billy Pickel, Loudon County |
| First Vice President | Layman Burke, Hancock County |
| Second Vice President | Joe Miller, Morgan County |
| 3rd Vice President | Doug Jones, Washington County |
| Secretary | Donnie Adams, Sevier County |
Region II
| President | Ryan Reed, Fentress County |
| 1st Vice President | Eric Higgins, Sequatchie County |
| 2nd Vice President | Corey Pickett, Marion County |
| Secretary | Brandon Mauracher, Hamilton County |
Region III
| President | Jeff Bryant, Montgomery County |
| 1st Vice President | Toby Ellis, Sumner County |
| 2nd Vice President | Bob Binkley, Cheatham County |
| 3rd Vice President | Mickey Barrett, Smith County |
| Secretary | Chuck Moser, Wayne County |
Region IV
| President | Jeff Cosby, Weakley County |
| 1st Vice President | Kevin Dunn, Obion County |
| 2nd Vice President | Wesley Jerrolds, Hardin County |
| 3rd Vice President | Wayne Dowdy, Fayette County |
| Secretary | Derek Kissell, Lauderdale County |