LED Lighting Upgrade Rebate Form
Applicant Information
Full Name
Email
Installation Address
Phone Number
LED Lighting Upgrade Details
Date of Installation
Installer / Contractor
Type of Location
Residential
Commercial
Industrial
LED Products Installed (Model & Quantity)
Number of Old Fixtures Replaced
Number of New LED Fixtures Installed
Supporting Documents
Upload Invoice / Receipt
Upload Photo of Installation (Optional)
Certification
I certify that the information provided is accurate and complete.