Ballot results for the candidate by precinct
| Candidate | Fornalczyk Honorata |
| Age | 23 |
| Address and endorsements | Tomaszów Mazowiecki |
| Constituency no. | 1 |
| Number of votes for the candidate | 6 |
| % of valid votes for the candidate | 0.13% |
| Number of votes for the list | 166 |
| % of votes for the candidate relating to votes for the list | 3.61% |
| Mandate | No |
m. Tomaszów Mazowiecki
| 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 | J & K Romstom, ul.Barlickiego 33 | 1 |
0.31% 
|
9 |
11.11%
|
| 2 | Miejski Ośrodek Pomocy Społecznej, ul. Ks. Skorupki 1/3 | 2 |
0.24%
|
24 |
8.33%
|
| 3 | Przedszkole Nr 12, ul. Kombatantów 1/3 | 0 | — | 21 |
0.00%
|
| 4 | Gimnazjum nr 2 ul. Warszawska 95 | 3 |
0.35%
|
49 |
6.12%
|
| 5 | Zespół Szkół Nr 4 (dawna Szkoła Podstawowa Nr 10),ul. Ostrowskiego 14 | 0 | — | 23 |
0.00%
|
| 6 | Świetlica FD Weltom, ul. Gen.Hallera 2 | 0 | — | 14 |
0.00%
|
| 7 | Gimnazjum Nr 3, Al.Piłsudskiego 42 | 0 | — | 24 |
0.00%
|
| 38 | Dom Pomocy Społecznej, ul. Farbiarska 27/29 | 0 | — | 2 |
0.00%
|