Ballot results for the candidate by precinct
| Candidate | Michalak Roman Jan |
| Age | 52 |
| Address and endorsements | Dobrzyca |
| Constituency no. | 3 |
| Number of votes for the candidate | 53 |
| % of valid votes for the candidate | 1.93% |
| Number of votes for the list | 354 |
| % of votes for the candidate relating to votes for the list | 14.97% |
| Mandate | No |
gm. Dobrzyca
| 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 | Dobrzyca-Gminne Centrum Kultury, mała sala - ul. Koźmińska 10 | 4 |
0.81% 
|
44 |
9.09%
|
| 2 | Galew 38 - Szkoła Podstawowa | 1 |
0.28%
|
16 |
6.25%
|
| 3 | Koźminiec 52 - Szkoła Podstawowa | 0 | — | 11 |
0.00%
|
| 4 | Sośnica 84 - Szkoła Podstawowa | 0 | — | 43 |
0.00%
|
| 5 | Fabianów - sala wiejska, ul. Przemysłowa 3 | 7 |
2.41%
|
30 |
23.33%
|
| 6 | Dobrzyca - Gminne Centrum Kultury, duża sala - ul. Koźmińska 10 | 40 |
4.89%
|
179 |
22.35%
|
| 7 | Karmin 25 - Szkoła Podstawowa | 1 |
0.41%
|
30 |
3.33%
|
| 8 | Fabianów - Dom Pomocy Społecznej ul. Pleszewska 2 | 0 | — | 1 |
0.00%
|