Ballot results for the candidate by precinct
| Candidate | Dominik Józef |
| Age | 60 |
| Address and endorsements | Włoszczowa |
| Constituency no. | 1 |
| Number of votes for the candidate | 32 |
| % of valid votes for the candidate | 1.14% |
| Number of votes for the list | 192 |
| % of votes for the candidate relating to votes for the list | 16.67% |
| Mandate | No |
gm. Włoszczowa
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Urząd Gminy sala Nr 45 Włoszczowa, ul. Partyzantów nr 14 | 11 |
0.99% 
|
74 |
14.86%
|
| 2 | OSiR - Hala Sportowa Włoszczowa, ul. Wiśniowa nr 2 | 12 |
1.06%
|
77 |
15.58%
|
| 5 | PKP Sekcja Drogowa Włoszczowa, ul. Śląska Nr 6 | 9 |
1.71%
|
32 |
28.12%
|
| 19 | Dom Pomocy Społecznej we Włoszczowie ul. Koniecpolska 20 | 0 | — | 9 |
0.00%
|