Ballot results for the candidate by precinct
| Candidate | Fornalski Edward |
| Age | 52 |
| Address and endorsements | Kostomłoty II |
| Constituency no. | 3 |
| Number of votes for the candidate | 179 |
| % of valid votes for the candidate | 31.91% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Miedziana Góra
| 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 | Szkoła Podstawowa w Kostomłotach II | 179 |
31.91% 
|
474 |
37.76%
|