The league is operated by the Belgrade FA.
16 teams compete in the league for the 2018–19 season.
The top-seeded team will be promoted to the Serbian SuperLiga.
The two bottom-seeded teams will be relegated to the Belgrade Zone League, the fourth-highest division overall in the Serbian football league system, while the team in 14th position will be participating in a relegation playoff match against the 3rd placed team from the Belgrade Zone League.
[1] The following teams have changed division since the 2017–18 season.