Ballot results for the candidate by precinct
| Candidate | Kusaj Stanisław |
| Age | 69 |
| Address and endorsements | Kamienna Góra |
| Constituency no. | 4 |
| Number of votes for the candidate | 56 |
| % of valid votes for the candidate | 2.77% |
| Number of votes for the list | 251 |
| % of votes for the candidate relating to votes for the list | 22.31% |
| Mandate | No |
m. Kamienna Góra
| 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 * |
|---|---|---|---|---|---|
| 10 | Osiedle Krzeszowskie, ulica Wałbrzyska 26, Kamienna Góra | 35 |
3.21% 
|
134 |
26.12%
|
| 11 | Centrum Kultury ul.Kościuszki 4, Kamiena Góra | 20 |
2.29%
|
109 |
18.35%
|
| 12 | Dolnośląskie Centrum Rehabilitacji ul.Korczaka 1, Kamienna Góra | 1 |
1.64%
|
8 |
12.50%
|