 
| Constituency statistic | |||||
| Constituency | Council name | Number of | |||
| electors | mandates | Committees which submitted lists for | candidates from all lists | ||
| 5 | Rada Gminy Wielka Wieś | 886 | 1 | 2 | 2 | 
| Voting results for the constituency | ||||||
| Number of | ||||||
| entitled | dispensed ballot cards | votes | Attendance | valid votes | % of valid votes | |
| 886 | 500 | 500 | 56.43% | 483 | 96.60% | |
| Precinct No. | Address | Precinct type | Location accessible for the handicapped | Precinct boundaries | entitled | dispensed ballot cards | Attendance | votes | valid votes | % of valid votes | |
| 7 | Szkoła Ponadgimnazjalna w Giebułtowie, Giebułtów | General | No | Giebułtów | 886 | 500 | 56,43% | 500 | 483 | 96,60% | |
| Totalling | 886 | 500 | 56,43% | 500 | 483 | 96,60% | |||||
| List no. 17 - KOMITET WYBORCZY WYBORCÓW "JURAJSKI" - Zarejestrowana | 
| Number in the list | Family name and given names | Age | Address | Number of valid votes for candidate | % of valid votes | Mandate | |
| 1 | Buczak Roman Zenon | 48 | Giebułtów | 101 | 20.91% | Nie | |
| List no. 18 - KOMITET WYBORCZY WYBORCÓW TADEUSZA WÓJTOWICZA - Zarejestrowana | 
| Number in the list | Family name and given names | Age | Address | Number of valid votes for candidate | % of valid votes | Mandate | |
| 1 | Figiel Roman Tadeusz | 54 | Giebułtów | 382 | 79.09% | Tak | |
| *) Content of vetting statements are based on the territorial election commission announcement |