Healthcare Facility Lighting Upgrade Proposal

Facility Information

Facility Name
Address
Date
Contact Person

Current Lighting Assessment

Area/Room	Existing Fixture Type	Quantity	Power (W)	Comments

Proposed Lighting Solution

Area/Room	Proposed Fixture Type	Quantity	Power (W)	Estimated Savings

Estimated Project Costs

Description	Amount
Equipment & Materials
Installation
Other (specify)
Total

Benefits & Justification

Project Timeline

Milestone	Date/Duration

Approvals

Name	Title	Signature	Date