The Memorial District owns, operates, and maintains a memorial hall for the use of veterans and other members of the public. Three veterans groups use the memorial hall for meetings. A number of different types of meetings and events are held at the memorial hall by these groups as well as the public.

The District provides cemetery plots, burials, and maintenance of grounds for the residents and taxpayers of the District at the Madronia Cemetery. Services that the District provides includes sale of full-burial sites, half-burial sites for cremated remains, and niches within a columbarium also for cremated remains; opening and closing of the burial sites; and sale of the required vaults for both cremation and full-casket in-ground burials, as well as setting markers of different types.

The District provides bus and light rail services, regional commuter and inter-city rail service, ADA paratransit service, congestion management, specific highway improvements and other transportation projects, and countywide transportation planning and funding.

The public can request, report, or receive the following services from the District: (1) Report stagnant water or report neglected pools; (2) Request free mosquitofish; (3) Request a rodent inspection; (4) Receive adult-mosquito-control treatment alerts; (5) Request a wildlife inspection; (6) Request a presentation or educational booth; (7) Report a dead bird; (8) Request a yellowjacket nest removal; (9) Request insect identification; (10) Subscribe to monthly newsletter; (11) Report a coyote/mountain lion sighting; and (12) Submit a public records request.

The District 's services include: 1) detection of the presence of vector-borne diseases such as West Nile Virus, rabies, Lyme Disease through ongoing and comprehensive vector surveillance and testing, 2) reducing vectors or exposure to vectors that transmit diseases, 3) conducting routine inspections and treatment as necessary of known mosquito and rodent sources, 4) responding to public service requests for identification, advice and/or initiation of control measures for mosquitoes, rodents, wildlife, and miscellaneous invertebrates (e.g., ticks, yellow jackets, cockroaches, bees, fleas, flies, etc.), 5) providing public information through a variety of channels, including a website, social media and educational presentations for schools, homeowners associations, private businesses, civic groups and other interested groups regarding vectors and vector-borne diseases, and 6) preventing disease and illness by identifying, inventorying, inspecting, and treating sources of vector development.

The District operates, maintains and services the County-owned streetlights located in areas of public right-of-way in a number of different unincorporated communities of the County. Maintenance of the streetlights includes repair, removal or replacement of all, or part of, any streetlight. The District reimburses Pacific Gas & Electric (PG&E) for services rendered to PG&E-owned streetlights, including the cost of electricity for all lights within the District. The County Roads and Airports Department provides the maintenance and program management services on behalf of the District. The District acts as a financing mechanism to reimburse the County and PG&E for these services, and does not maintain its own dedicated staff.

The District owns, maintains and operates a recreation facility and offers the following recreation programs at the facility: swimming pool activities, Kids Night Out, after-school activities, facility and barbeque rentals, a snack bar, and a location for community-related activities.

The District does not operate a hospital but is the sole member of the non-profit El Camino Hospital Corporation, which operates the El Camino Hospital in Mountain View and which comprises three other affiliated entities including Concern Employee Assistance Program, El Camino Hospital Foundation and Silicon Valley Medical Development. The District provides grants and sponsorships through its Community Benefit Plan to fund health services for the underserved.