Ballot results for the candidate by precinct
| Candidate | Rubiś-Kulczycka Jolanta Maria |
| Age | 45 |
| Address and endorsements | Polkowice |
| Constituency no. | 1 |
| Number of votes for the candidate | 84 |
| % of valid votes for the candidate | 4.48% |
| Number of votes for the list | 211 |
| % of votes for the candidate relating to votes for the list | 39.81% |
| Mandate | No |
gm. Polkowice
| 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 * |
|---|---|---|---|---|---|
| 3 | Szkoła Podstawowa Nr 2 (świetlica), Polkowice ul.Dąbrowskiego 1A | 28 |
4.95% 
|
77 |
36.36%
|
| 4 | Przedszkole nr 4, Polkowice ul. Lipowa 11 | 30 |
4.22%
|
73 |
41.10%
|
| 5 | Ośrodek Pomocy Społecznej, Polkowice ul.Lipowa 2 | 26 |
4.33%
|
61 |
42.62%
|