 
| gm. Jasień, Precinct no. 1, Constituency no. 3 | |
| Council name | Rada Miejska w Jasieniu | 
| Constituency | Constituency no. 3 | 
| Precinct | Precinct no. 1 | 
| Electoral Commission Regional Headquarters | Miejsko Gminny Ośrodek Kultury, Plac Armii Krajowej 1, Jasień | 
| Number of electors | 465 | 
| Number of dispensed ballot cards | 166 | 
| Number of valid ballot cards | 166 | 
| Number of votes valid | 162 | 
| Number of votes invalid | 4 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 06:33 | 
| List no. 12 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Sawron Artur | 67 | 41,36% | |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW NASZA GMINA JASIEŃ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Witkowski Zbigniew | 95 | 58,64% | |