| gm. Wieruszów, Precinct no. 12 |
| Vote on 05-12-2010 | |
| Office | Burmistrz Wieruszowa |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Powiatowe Centrum Medyczne w Wieruszowie Sp. z o.o. NZOZ Szpital Powiatowy w Wieruszowie ul. Warszawska 104 |
| Number of electors | 7 |
| Number of dispensed ballot cards | 2 |
| Number of valid ballot cards | 2 |
| Number of votes valid | 2 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 22:11 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Nawrocki Bogdan Leszek | 46 | wyższe | Wieruszów, submitted by KOMITET WYBORCZY WYBORCÓW "ZGODA", member of Polskiego Stronnictwa Ludowego | 0 | 0,00% | |
| 3 | Szkopińska Iwona Barbara | 52 | wyższe | Wieruszów, submitted by KOMITET WYBORCZY WYBORCÓW OBYWATELSKA GMINA WIERUSZÓW, not a member of any political party | 2 | 100,00% | |
| Vote on 21-11-2010 | |
| Office | Burmistrz Wieruszowa |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Powiatowe Centrum Medyczne w Wieruszowie Sp. z o.o. NZOZ Szpital Powiatowy w Wieruszowie ul. Warszawska 104 |
| Number of electors | 6 |
| Number of dispensed ballot cards | 1 |
| Number of valid ballot cards | 1 |
| Number of votes valid | 1 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:28 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Nawrocki Bogdan Leszek | 46 | wyższe | Wieruszów, submitted by KOMITET WYBORCZY WYBORCÓW "ZGODA", member of Polskiego Stronnictwa Ludowego | 1 | 100,00% | |
| 2 | Stojecki Marek Lucjan | 50 | wyższe | Wieruszów, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, not a member of any political party | 0 | 0,00% | |
| 3 | Szkopińska Iwona Barbara | 52 | wyższe | Wieruszów, submitted by KOMITET WYBORCZY WYBORCÓW OBYWATELSKA GMINA WIERUSZÓW, not a member of any political party | 0 | 0,00% | |
| 4 | Wróbel Józef Edmund | 61 | wyższe | Kuźnica Skakawska, submitted by KOMITET WYBORCZY WYBORCÓW JÓZEFA WRÓBLA, member of Sojuszu Lewicy Demokratycznej | 0 | 0,00% | |