Ballot results for the candidate by precinct
| Candidate | Kozubska Teresa |
| Age | 44 |
| Address and endorsements | Siedlec |
| Constituency no. | 3 |
| Number of votes for the candidate | 58 |
| % of valid votes for the candidate | 17.79% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kostrzyn
| 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, Brzeźno ul. Długa 3 | 58 |
17.79% 
|
58 |
100.00%
|