Ballot results for the candidate by precinct
| Candidate | Seweryn Urszula Irena |
| Age | 46 |
| Address and endorsements | Uniejów Kolonia |
| Constituency no. | 1 |
| Number of votes for the candidate | 17 |
| % of valid votes for the candidate | 0.37% |
| Number of votes for the list | 174 |
| % of votes for the candidate relating to votes for the list | 9.77% |
| Mandate | No |
gm. Charsznica
| 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 | Gimnazjum w Miechowie-Charsznicy ul.Szkolna 14 | 3 |
0.46% 
|
20 |
15.00%
|
| 2 | Gimnazjum w Miechowie-Charsznicy ul.Szkolna 14 | 0 | — | 11 |
0.00%
|
| 3 | Szkoła Podstawowa w Swojczanach | 0 | — | 1 |
0.00%
|
| 4 | Remiza OSP w Tczycy | 0 | — | 12 |
0.00%
|
| 5 | Szkoła Podstawowa w Pogwizdowie | 0 | — | 13 |
0.00%
|
| 6 | Remiza OSP w Uniejowie Kolonii | 4 |
2.15%
|
14 |
28.57%
|
| 7 | Budynek gminny w Podlesicach | 0 | — | 2 |
0.00%
|
| 8 | Dom Pomocy Społecznej Caritas Miechów-Charsznica ul.Młyńska 2 | 0 | — | 0 | — |
gm. Gołcza
| 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 | Sala Obrad Urzędu Gminy w Gołczy | 2 |
0.26%
|
23 |
8.70%
|
| 2 | Remiza OSP w Chobędzy | 1 |
0.49%
|
6 |
16.67%
|
| 3 | Szkoła Podstawowa w Szreniawie | 1 |
0.15%
|
12 |
8.33%
|
| 4 | Szkoła Podstawowa w Mostku | 0 | — | 4 |
0.00%
|
| 5 | Budynek po Szkole Podstawowej w Ulinie Wielkiej | 3 |
1.38%
|
13 |
23.08%
|
| 6 | Szkoła Podstawowa w Wysocicach | 2 |
1.09%
|
12 |
16.67%
|
| 7 | Szkoła Podstawowa w Czaplach Wielkich | 1 |
0.47%
|
31 |
3.23%
|