On November 28, 2016 Middletown entered a shared services agreement with the Monmouth County Sheriff's Office Communications Center. They handle all calls, dispatch, and telecommunications services for Police, Fire, and EMS. This includes both 911 calls and non-emergency calls to the police regular phone numbers.

Their website is at MCSO Communications. All public Safety Telecommunicators and Call Takers in the CALEA accredited center are trained in both 911 and Emergency Medical Dispatching. They provide the caller of a Medical Emergency with pre-arrival instructions depending on the nature of the call.

The center also handles dispatch for the 11 volunteer fire companies, 5 volunteer first aid squads and the MEMS paid service within the Township of Middletown.