Ballot results for the candidate by precinct
| Candidate | Formas Andrzej Jan |
| Age | 55 |
| Address and endorsements | Jawiszowice |
| Constituency no. | 2 |
| Number of votes for the candidate | 143 |
| % of valid votes for the candidate | 5.28% |
| Number of votes for the list | 602 |
| % of votes for the candidate relating to votes for the list | 23.75% |
| Mandate | Yes |
gm. Brzeszcze
| 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 | Przedszkole Nr 4 w Brzeszczach | 0 | — | 1 |
0.00% 
|
| 8 | Świetlica Ośrodka Kultury w Jawiszowicach, Osiedle Paderewskiego | 81 |
13.09%
|
269 |
30.11%
|
| 9 | Międzyzakładowa Górnicza Spółdzielnia Mieszkaniowa "Piast" w Jawiszowicach Osiedle Paderewskiego Nr 14 | 28 |
7.25%
|
68 |
41.18%
|
| 10 | Szkoła Podstawowa w Jawiszowicach | 29 |
3.76%
|
99 |
29.29%
|
| 11 | Świetlica Ośrodka Kultury w Strażnicy OSP w Jawiszowicach | 5 |
0.77%
|
112 |
4.46%
|
| 15 | Świetlica Ośrodka Kultury w Zasolu | 0 | — | 53 |
0.00%
|