Established in 1848, the Middletown Division of Fire operates under the government of the city of Middletown, Ohio, which also operates city manager, planning, police and purchasing departments. The Middletown Division of Fire is a service-oriented unit. The Middletown Division of Fire provides a range of programs to protect the lives and properties of individuals. The division offers services related to the management of adverse fire effects, sudden medical emergencies and dangerous natural conditions. It maintains a fleet of ambulances and pumpers. The Middletown Division of Fire operates a hazardous materials response unit. The division operates a fire prevention bureau that is a local enforcement agency to administer the uniform fire codes of Ohio.