Ballot results for the candidate by precinct
| Candidate | Cipora Jan |
| Age | 70 |
| Address and endorsements | Ustrzyki Dolne |
| Constituency no. | 9 |
| Number of votes for the candidate | 154 |
| % of valid votes for the candidate | 8.76% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ustrzyki Dolne
| 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 | Budynek Przeds. Gosp. Mieszk. w Ustrzykach Dolnych, ul. 29 Listopada 42 | 41 |
12.09% 
|
153 |
26.80%
|
| 2 | Szkoła Podstawowa Nr 1 w Ustrzykach Dolnych | 43 |
8.51%
|
184 |
23.37%
|
| 3 | Świetlica Nadleśnictwa Brzegi Dolne | 69 |
7.67%
|
451 |
15.30%
|
| 20 | Szpital Ogólny SP ZOZ w Ustrzykach Dln., ul. 29 Listopada 57 | 1 |
7.69%
|
4 |
25.00%
|