Ballot results for the candidate by precinct
| Candidate | Siepietowski Ryszard Mieczysław |
| Age | 45 |
| Address and endorsements | Gola |
| Constituency no. | 3 |
| Number of votes for the candidate | 77 |
| % of valid votes for the candidate | 19.64% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Sława
| 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 | Przedszkole Samorządowe Sława ul. Waryńskiego 55 | 75 |
29.30% 
|
75 |
100.00%
|
| 11 | Świetlica Wiejska Przybyszów | 2 |
1.47%
|
2 |
100.00%
|