Ballot results for the candidate by precinct
| Candidate | Fornal Tomasz Waldemar |
| Age | 27 |
| Address and endorsements | Kozienice |
| Constituency no. | 1 |
| Number of votes for the candidate | 58 |
| % of valid votes for the candidate | 1.50% |
| Number of votes for the list | 401 |
| % of votes for the candidate relating to votes for the list | 14.46% |
| Mandate | No |
gm. Kozienice
| 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 | Publiczna Szkoła Podstawowa Nr 3 w Kozienicach | 7 |
0.79% 
|
78 |
8.97%
|
| 2 | Publiczne Przedszkole Nr 1 w Kozienicach | 23 |
7.26%
|
51 |
45.10%
|
| 3 | Publiczne Przedszkole Nr 2 w Kozienicach | 15 |
1.92%
|
89 |
16.85%
|
| 4 | Publiczne Przedszkole Nr 3 w Kozienicach | 6 |
1.17%
|
29 |
20.69%
|
| 5 | Zespół Szkół Nr 1 w Kozienicach | 6 |
0.96%
|
91 |
6.59%
|
| 7 | Publiczne Gimnazjum Nr 2 w Kozienicach | 1 |
0.14%
|
62 |
1.61%
|
| 24 | Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej | 0 | — | 1 |
0.00%
|