Ballot results for the candidate by precinct
| Candidate | Urbańska Dorota Teresa |
| Age | 47 |
| Address and endorsements | Czempiń |
| Constituency no. | 6 |
| Number of votes for the candidate | 23 |
| % of valid votes for the candidate | 7.54% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Czempiń
| 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 * |
|---|---|---|---|---|---|
| 2 | Przedszkole Samorządowe w Czempiniu, ul. Borówko Stare 1 | 23 |
7.54% 
|
— |