Ballot results for the candidate by precinct
| Candidate | Werner Teodozja |
| Age | 64 |
| Address and endorsements | Dryżyna |
| Constituency no. | 5 |
| Number of votes for the candidate | 17 |
| % of valid votes for the candidate | 16.04% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Szlichtyngowa
| 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 | Miejsko-Gminny Ośrodek Kultury w Szlichtyngowej ul. Głogowska 1 | 17 |
16.04% 
|
17 |
100.00%
|