The candidates with the highest number of votes in each district, depending on the number of members the district sends, are elected.

The vice governor is the ex officio presiding officer, and only votes to break ties.

The vice governor is elected via the plurality voting system province-wide.

Aside from the regular members, the board also includes the provincial federation presidents of the Liga ng mga Barangay (ABC, from its old name "Association of Barangay Captains"), the Sangguniang Kabataan (SK, youth councils) and the Philippine Councilors League (PCL).

An additional three ex officio members are the presidents of the provincial chapters of the Association of Barangay Captains, the Councilors' League, the Sangguniang Kabataan provincial president; the municipal and city (if applicable) presidents of the Association of Barangay Captains, Councilor's League and Sangguniang Kabataan, shall elect amongst themselves their provincial presidents which shall be their representatives at the board.