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Settlement Voucher Claim Form

This claim form should be submitted only by persons who purchased Groupon vouchers that have not been redeemed or refunded and: (1) who purchased Groupon vouchers in the United States between August 22, 2010 and December 1, 2011; or (2) who purchased Groupon vouchers between November 1, 2008 and December 1, 2011 and are or were residents of, or purchased Groupon vouchers for redemption in, the following states: Arkansas, California, Connecticut, Florida, Hawaii, Illinois, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, New Hampshire, New Jersey, New Mexico, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, Tennessee, Vermont, Washington. The deadline to submit this claim form has not yet been set. This means that if and when the Settlement is approved, you must complete and either email this claim form to by the deadline set by the court, file the claim form online through this website by the deadline set by the court, or mail it via First Class mail to Claims Administrator, C/O Rust Consulting, Inc., P.O. Box 2727, Faribault, MN 55021-9727 postmarked by the deadline set by the court. Before you email or mail your claim form, please make sure that it is complete.
Please note that we cannot confirm that the information you transmit to the settlement administrator via email or electronically will remain secure. If you have a concern about sensitive information you are transmitting to the settlement administrator, please consider submitting this claim form to the settlement administrator by mail.

If you are a representative, assign, heir, executor, administrator, or custodian of the intended recipient of this claim form, you may complete this form on the Class Member’s behalf. If you are submitting this claim form in a representative capacity, please include proof of your authority to act on behalf of and to bind the person or entity on whose behalf you are acting.

If and when the settlement is approved and if your claim meets the criteria in Section D of the Settlement Agreement, you will receive a Settlement Voucher, valid for a period of 130 days from its issue date, to redeem the expired Groupon Voucher(s) that is/are the basis of your claim, for the goods and/or services at the Merchant Partner identified on the Voucher(s) for the amount of the Customer Purchase Price, regardless of the expiration date stated on the original Groupon Voucher(s).

Please click here to file your claim electronically through this website.


Please do not contact the Court, or Groupon regarding this Settlement. Neither the Court nor Groupon nor Merchant Partner employees can give you legal advice regarding this Settlement.  If you have questions, please refer to the Commonly Asked Questions and the other information posted here.

This site is not operated by the Plaintiffs or the Defendants.  This class action settlement is supervised by the Court and is administered by a claims administration firm that handles all aspects of claims processing.

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