| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % |
| 1 | Bagiński Henryk | 59 | wyższe | Żmigród, submitted by KOMITET WYBORCZY WYBORCÓW ŻMIGRODZKIEGO PODATNIKA B.HENRYKA, not a member of any political party | 24 | | 6,38% |
| 2 | Jaśkiewicz Zbigniew | 56 | wyższe | Grądzik, submitted by KOMITET WYBORCZY WYBORCÓW ŻMIGRÓD XXI, not a member of any political party | 11 | | 2,93% |
| 3 | Lewandowski Robert Grzegorz | 37 | wyższe | Skokowa, submitted by KOMITET WYBORCZY WYBORCÓW WSPÓLNOTA SAMORZĄDOWO-LUDOWA, not a member of any political party | 315 | | 83,78% |
| 4 | Wasilewska Maria | 54 | średnie | Żmigród, submitted by KOMITET WYBORCZY WYBORCÓW MARII WASILEWSKIEJ, not a member of any political party | 12 | | 3,19% |
| 5 | Wysocki Waldemar Józef | 50 | wyższe | Żmigród, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, member of Prawa i Sprawiedliwości | 14 | | 3,72% |
