Ballot results for the candidate by precinct
| Candidate | Forc Adam |
| Age | 24 |
| Address and endorsements | Kleczanów |
| Constituency no. | 3 |
| Number of votes for the candidate | 45 |
| % of valid votes for the candidate | 1.14% |
| Number of votes for the list | 657 |
| % of votes for the candidate relating to votes for the list | 6.85% |
| Mandate | No |
gm. Obrazów
| 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 * |
|---|---|---|---|---|---|
| 1 | Szkoła Podstawowa w Obrazowie | 0 | — | 96 |
0.00% 
|
| 2 | Szkoła Podstawowa w Głazowie | 3 |
0.72%
|
49 |
6.12%
|
| 3 | Szkoła Podstawowa w Kleczanowie | 30 |
4.69%
|
67 |
44.78%
|
| 4 | Szkoła Podstawowa w Bilczy | 10 |
2.27%
|
63 |
15.87%
|
| 5 | Stacja Diagnostyczna Jan Maziarz, Chwałki 7a | 1 |
0.45%
|
54 |
1.85%
|
gm. Wilczyce
| 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 * |
|---|---|---|---|---|---|
| 1 | Szkoła Podstawowa w Wilczycach | 0 | — | 124 |
0.00%
|
| 2 | Szkoła Podstawowa w Darominie | 0 | — | 65 |
0.00%
|
| 3 | Szkoła Podstawowa w Radoszkach | 1 |
0.28%
|
76 |
1.32%
|
| 4 | Szkoła Podstawowa w Łukawie | 0 | — | 39 |
0.00%
|
| 5 | Remiza OSP w Pielaszowie | 0 | — | 24 |
0.00%
|