In addition to the City Manager's Office, the City of Elizabethton is organized into 11 different administrative Departments. The Departments are organized by the City Manager and work with him/her to carry out the day-to-day operations of the city.
The Departments are:
- City Manager's Office,
- Finance & City Clerk,
- Human Resources & Risk Management,
- Parks & Recreation,
- Planning & Development (including Building & Codes Enforcement),
- Public Library,
- Streets & Sanitation,
- Electric, and
- Water Resources & Engineering.