 
| gm. Choceń, Precinct no. 5, Constituency no. 4 | |
| Council name | Rada Powiatu we Włocławku | 
| Constituency | Constituency no. 4 | 
| Precinct | Precinct no. 5 | 
| Electoral Commission Regional Headquarters | Budynek byłej szkoły w Szczytnie, Szczytno | 
| Number of electors | 420 | 
| Number of dispensed ballot cards | 210 | 
| Number of valid ballot cards | 210 | 
| Number of votes valid | 176 | 
| Number of votes invalid | 34 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 01:10 | 
| List no. 1 - KOMITET WYBORCZY SOJUSZ LEWICY DEMOKRATYCZNEJ | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Orliński Mirosław Andrzej | 21 | 11,93% | 77,78% | |
| 2 | Czajkowska Agnieszka | 0 | 0,00% | 0,00% | |
| 3 | Bącela-Bagińska Małgorzata Beata | 2 | 1,14% | 7,41% | |
| 4 | Dzięcielewska Izabela | 2 | 1,14% | 7,41% | |
| 5 | Stankiewicz Bożena Agnieszka | 1 | 0,57% | 3,70% | |
| 6 | Drzewiecki Adam | 1 | 0,57% | 3,70% | |
| Totalling | 27 | 15,34% | |||
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Kozłowska Anna | 4 | 2,27% | 40,00% | |
| 2 | Lewandowski Zbigniew Karol | 1 | 0,57% | 10,00% | |
| 3 | Skoczylas Jan Edward | 2 | 1,14% | 20,00% | |
| 4 | Dorsz Janina | 1 | 0,57% | 10,00% | |
| 5 | Kierzkowski Miłosz | 2 | 1,14% | 20,00% | |
| 6 | Józwicki Jan | 0 | 0,00% | 0,00% | |
| Totalling | 10 | 5,68% | |||
| List no. 4 - KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Wojtczak Mirosław Piotr | 4 | 2,27% | 13,33% | |
| 2 | Góreczny Marek Wiesław | 3 | 1,70% | 10,00% | |
| 3 | Banasiak Ilona Katarzyna | 0 | 0,00% | 0,00% | |
| 4 | Torzewski Roman | 1 | 0,57% | 3,33% | |
| 5 | Napora Dariusz | 15 | 8,52% | 50,00% | |
| 6 | Hoffman Tomasz | 7 | 3,98% | 23,33% | |
| Totalling | 30 | 17,05% | |||
| List no. 16 - KOMITET WYBORCZY WYBORCÓW POROZUMIENIE SAMORZĄDOWE "PONAD PODZIAŁAMI" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Zawacki Krzysztof | 0 | 0,00% | 0,00% | |
| 2 | Nowakowski Andrzej Zdzisław | 2 | 1,14% | 10,53% | |
| 3 | Płoszaj Andrzej | 16 | 9,09% | 84,21% | |
| 4 | Konik Marian | 0 | 0,00% | 0,00% | |
| 5 | Zieliński Marek | 1 | 0,57% | 5,26% | |
| 6 | Grochowina Mirosława Krystyna | 0 | 0,00% | 0,00% | |
| Totalling | 19 | 10,80% | |||
| List no. 17 - KOMITET WYBORCZY WYBORCÓW WSPÓLNOTA SAMORZĄDOWA POWIATU WŁOCŁAWSKIEGO | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Donajczyk Jerzy | 11 | 6,25% | 15,07% | |
| 2 | Dorabiała Marek | 0 | 0,00% | 0,00% | |
| 3 | Andrzejewska Jadwiga | 1 | 0,57% | 1,37% | |
| 4 | Piwiński Zdzisław Kazimierz | 11 | 6,25% | 15,07% | |
| 5 | Podlaska Joanna Krystyna | 2 | 1,14% | 2,74% | |
| 6 | Kaca Kazimierz | 48 | 27,27% | 65,75% | |
| Totalling | 73 | 41,48% | |||
| List no. 18 - KOMITET WYBORCZY NASZ DOM POLSKA - SAMOOBRONA ANDRZEJA LEPPERA | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Wilczyński Cezary | 0 | 0,00% | 0,00% | |
| 2 | Witczak Halina | 0 | 0,00% | 0,00% | |
| 3 | Bojakowska Halina Maria | 0 | 0,00% | 0,00% | |
| 4 | Lewandowska Magdalena | 5 | 2,84% | 29,41% | |
| 5 | Włodarczyk Agnieszka | 11 | 6,25% | 64,71% | |
| 6 | Ryniec Robert Adam | 1 | 0,57% | 5,88% | |
| Totalling | 17 | 9,66% | |||