| futsal referee |  Tomasz Fr±k |
| date of birth [dd/mm/yyyy] | 13/07/1981 |
| nationality(ies) |  Polish |
| date | location | wdl | match | competition |
| 03/12/2018 | Kwidzyn |
W | Poland - Belgium 2-1 | FM International Friendly |
| 15/12/2018 |  Ostrava |
D | Czech Republic - Poland 2-2 | FW Visegrad Cup 2018 |
| 16/12/2018 | Ostrava |
W | Poland - Hungary 1-0 | FW Visegrad Cup 2018 |
| 14/04/2019 | Koszalin |
L | Poland - Brazil 1-5 | FM International Friendly |
| 04/11/2019 | Gniezno |
D | Poland - Netherlands 0-0 | FW International Friendly |
| gms | pw | pd | pl | yp | avg yp | rp | avg rp | pfp (s) | pap (s) |
| 5 | 2 | 2 | 1 | 4 | 0.8 | 0 | 0.0 | 0 (0) | 0 (0) |