Ballot results for the candidate by precinct
| Candidate | Siwak Henryka Anna |
| Age | 51 |
| Address and endorsements | Gozdnica |
| Constituency no. | 2 |
| Number of votes for the candidate | 47 |
| % of valid votes for the candidate | 1.01% |
| Number of votes for the list | 696 |
| % of votes for the candidate relating to votes for the list | 6.75% |
| Mandate | No |
gm. Iłowa
| 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 Iłowa ul.Piaskowa 2 | 1 |
0.17% 
|
148 |
0.68%
|
| 2 | Szkoła Podstawowa Iłowa ul.Kolejowa 11 | 5 |
1.08%
|
86 |
5.81%
|
| 3 | Zespół Szkół Ponadgimnazjalnych Iłowa ul.Pałacowa 1 | 0 | — | 90 |
0.00%
|
| 4 | Gminne Centrum Kultury i Sportu Iłowa ul.Żagańska 15 | 0 | — | 80 |
0.00%
|
| 5 | Szkoła Podstawowa Konin Żagański 83 | 0 | — | 21 |
0.00%
|
| 6 | Szkoła Podstawowa Szczepanów 39a | 0 | — | 55 |
0.00%
|
gm. Wymiarki
| 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 | Gminny Ośrodek Kultury w Wymiarkach | 0 | — | 84 |
0.00%
|
| 2 | Świetlica wiejska w Witoszynie Dolnym | 0 | — | 18 |
0.00%
|
m. Gozdnica
| 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 | Gimnazjum Publiczne, Gozdnica, ul. W.Polskiego 5b | 19 |
4.69%
|
51 |
37.25%
|
| 2 | Urząd Miejski, Gozdnica, ul. Świerczewskiego 2 | 6 |
1.60%
|
24 |
25.00%
|
| 3 | Dom Kultury, Gozdnica, ul. Świerczewskiego 25 | 16 |
3.82%
|
39 |
41.03%
|