Ballot results for the candidate by precinct
| Candidate | Burkacka Anna Maria |
| Age | 55 |
| Address and endorsements | Wieża |
| Constituency no. | 5 |
| Number of votes for the candidate | 39 |
| % of valid votes for the candidate | 18.40% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Gryfów Śląski
| 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 * |
|---|---|---|---|---|---|
| 4 | Sala Posiedzeń Urzędu Gminy i Miasta w Gryfowie Śląskim | 39 |
18.40% 
|
39 |
100.00%
|