Ballot results for the candidate by precinct
| Candidate | Formański Rafał Alojzy |
| Age | 36 |
| Address and endorsements | Nowe Miasto Lubawskie |
| Constituency no. | 3 |
| Number of votes for the candidate | 31 |
| % of valid votes for the candidate | 8.81% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Nowe Miasto Lubawskie
| 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 | Powiatowy Środowiskowy Dom Samopomocy ul.Korczaka 4, Nowe Miasto Lubawskie | 31 |
8.81% 
|
31 |
100.00%
|