Ballot results for the candidate by precinct
| Candidate | Forkasiewicz Grzegorz Paweł |
| Age | 36 |
| Address and endorsements | Rytwiany |
| Constituency no. | 4 |
| Number of votes for the candidate | 509 |
| % of valid votes for the candidate | 5.87% |
| Number of votes for the list | 2148 |
| % of votes for the candidate relating to votes for the list | 23.70% |
| Mandate | Yes |
gm. Łubnice
| 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 | Centrum Kultury Łubnice | 8 |
1.17% 
|
77 |
10.39%
|
| 2 | Szkoła Podstawowa Budziska | 1 |
0.28%
|
37 |
2.70%
|
| 3 | Szkoła Podstawowa Gace Słupieckie | 6 |
1.01%
|
142 |
4.23%
|
| 4 | Szkoła Podstawowa Wilkowa | 4 |
1.22%
|
48 |
8.33%
|
gm. Oleśnica
| 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 | OSP Borzymów | 1 |
0.34%
|
57 |
1.75%
|
| 2 | Przedszkole Gminne w Oleśnicy ul. Nadstawie | 11 |
1.05%
|
183 |
6.01%
|
| 3 | OSP Strzelce | 1 |
0.24%
|
93 |
1.08%
|
gm. Rytwiany
| 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 | Szkoła Podstawowa w Rytwianach | 198 |
23.60%
|
414 |
47.83%
|
| 2 | Remiza OSP w Niedziałkach | 57 |
14.50%
|
172 |
33.14%
|
| 3 | Szkoła Podstawowa w Sichowie Dużym | 104 |
14.53%
|
365 |
28.49%
|
| 4 | Szkoła Podstawowa w Strzegomiu | 36 |
10.37%
|
75 |
48.00%
|
| 5 | Szkoła Podstawowa w Kłodzie | 30 |
13.16%
|
84 |
35.71%
|
| 6 | Remiza OSP w Tuklęczy | 38 |
22.75%
|
77 |
49.35%
|
gm. Szydłów
| 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 | Remiza OSP Kotuszów | 2 |
0.56%
|
68 |
2.94%
|
| 2 | Szkoła Podstawowa w Potoku | 1 |
0.28%
|
27 |
3.70%
|
| 3 | Urząd Gminy w Szydłowie | 9 |
0.75%
|
196 |
4.59%
|
| 4 | Szkoła Podstawowa w Solcu | 2 |
0.57%
|
33 |
6.06%
|