Ballot results for the candidate by precinct
| Candidate | Derbis Jan |
| Age | 54 |
| Address and endorsements | Wieluń |
| Number of votes | 734 |
| Result | 5.73% |
| Elected | No |
| Precinct number | Address | Number of votes | % of valid votes* |
|---|---|---|---|
| Precinct no. 21 | Szkoła Podstawowa w Gaszynie | 23 |
6.34% 
|
| Precinct no. 22 | Publiczna Szkoła Podstawowa SPSK w Kadłubie | 27 |
9.61%
|
| Precinct no. 23 | SP ZOZ w Wieluniu, ul. Szpitalna 16 | 1 |
16.67%
|
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