Ballot results for the candidate by precinct
| Candidate | Jasiński Leszek Edmund |
| Age | 44 |
| Address and endorsements | Wieruszów |
| Constituency no. | 5 |
| Number of votes for the candidate | 252 |
| % of valid votes for the candidate | 45.90% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Wieruszów
| 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 * |
|---|---|---|---|---|---|
| 5 | Gimnazjum Nr 1 w Wieruszowie, ul. Warszawska 123 a | 252 |
45.99% 
|
552 |
45.65%
|
| 12 | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej w Wieruszowie, ul. Warszawska 104 | 0 | — | 1 |
0.00%
|