Ballot results for the candidate by precinct
| Candidate | Burzyński Jerzy Marek |
| Age | 51 |
| Address and endorsements | Włostowo |
| Constituency no. | 5 |
| Number of votes for the candidate | 102 |
| % of valid votes for the candidate | 29.74% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Jeziora Wielkie
| 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 * |
|---|---|---|---|---|---|
| 3 | KOŚCIESZKI NR 39 | 81 |
25.31% 
|
141 |
57.45%
|
| 4 | DOM POMOCY SPOŁECZNEJ SIEMIONKI | 21 |
91.30%
|
33 |
63.64%
|