 
| Constituency statistic | |||||
| Constituency | Council name | Number of | |||
| electors | mandates | Committees which submitted lists for | candidates from all lists | ||
| 3 | Rada Miejska w Jasieniu | 465 | 1 | 2 | 2 | 
| Voting results for the constituency | ||||||
| Number of | ||||||
| entitled | dispensed ballot cards | votes | Attendance | valid votes | % of valid votes | |
| 465 | 166 | 166 | 35.70% | 162 | 97.59% | |
| Precinct No. | Address | Precinct type | Location accessible for the handicapped | Precinct boundaries | entitled | dispensed ballot cards | Attendance | votes | valid votes | % of valid votes | |
| 1 | Miejsko Gminny Ośrodek Kultury, Plac Armii Krajowej 1, Jasień | General | Yes | miasto JASIEŃ, ulice: Agrestowa, Akacjowa, Błotna. Boczna, Brukowa, Cicha, Cmentarna, XX Lecia, Energetyczna, Graniczna, Jana Pawła II, Jasna, Konopnickiej, Kościelna, Letnia, Lubska, Łąkowa, Mała, Mickiewicza, Modra, Obrońców, Piątkowskiego, Piwna, Plac Armii Krajowej, Plac Wolności, Podmokła, I Armii, Przemysłowa, Rogali, Rolnicza, Spokojna, Tarnopolska, Tokarska, Wąska, Witosa, Zielna, Żwirowa. miejscowości: BUDZIECHÓW, MIRKOWICE. | 465 | 166 | 35,70% | 166 | 162 | 97,59% | |
| Totalling | 465 | 166 | 35,70% | 166 | 162 | 97,59% | |||||
| List no. 12 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO - Zarejestrowana | 
| Number in the list | Family name and given names | Age | Address | Number of valid votes for candidate | % of valid votes | Mandate | |
| 1 | Sawron Artur | 37 | Mirkowice | 67 | 41.36% | Nie | |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW NASZA GMINA JASIEŃ - Zarejestrowana | 
| Number in the list | Family name and given names | Age | Address | Number of valid votes for candidate | % of valid votes | Mandate | |
| 1 | Witkowski Zbigniew | 56 | Budziechów | 95 | 58.64% | Tak | |
| *) Content of vetting statements are based on the territorial election commission announcement |