Museum Exhibit Lighting Upgrade Request Form
Requestor Name
Department
Date
Exhibit Information
Exhibit Name/Title
Location (Gallery/Room)
Installation Date
Current Lighting Type
Lighting Upgrade Details
Reason for Upgrade
Type of Upgrade Requested
Bulb Replacement
Fixture Addition
Fixture Replacement
Energy Efficiency Improvement
Accessibility/Controls Upgrade
Other
Specific Details/Requirements
Approval
Supervisor Name
Date Approved