Facility Lighting Upgrade Plan Submission

Facility Information

Facility Name Address Contact Person Email Phone

Existing Lighting Overview

Description of Current Lighting

Upgrade Plan

Upgrade Objectives Proposed Lighting Solution Expected Completion Date

Lighting Details

Area/Room	Existing Fixture Type	Quantity	Proposed Fixture Type	New Quantity

Estimated Costs & Savings

Estimated Project Cost Estimated Annual Energy Savings

Additional Notes