| Vote on 21-11-2010 |
| Result of voting and elections for the candidate |
| Surname and names | Age | Address | Committee | Endorsement |
| Sagasz Helena | 60 | Jasień | KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | member of Polskiego Stronnictwa Ludowego |
| Number of votes for candidate | Result | Elected |
| 1436 | 52.52% | Tak |
| The results of the candidate in the precincts | ||||||
| No | Address | Number of votes | Percent of valid votes in precinct | |||
| 1 | Miejsko Gminny Ośrodek Kultury, Plac Armii Krajowej 1, Jasień | 514 | 50.34% | |||
| 2 | Przedszkole Samorządowe, ul. Ogrodowa, Jasień | 380 | 42.65% | |||
| 3 | Szkoła Podstawowa, Wicina | 298 | 74.69% | |||
| 4 | Szkoła Podstawowa, Golin | 244 | 57.68% | |||