diff --git a/app/forms/support_interface/editable_until_form.rb b/app/forms/support_interface/editable_until_form.rb
index 7290920e559..f04b807ab4a 100644
--- a/app/forms/support_interface/editable_until_form.rb
+++ b/app/forms/support_interface/editable_until_form.rb
@@ -1,10 +1,10 @@
 module SupportInterface
   class EditableUntilForm
     include ActiveModel::Model
-    attr_accessor :application_form, :audit_comment, :audit_comment_description
+    attr_accessor :application_form, :audit_comment, :audit_comment_description, :policy_confirmation
     attr_writer :sections, :editable_until
 
-    validates :audit_comment, presence: true
+    validates :audit_comment, :policy_confirmation, presence: true
     validates_with ZendeskUrlValidator
 
     def non_editable_sections
diff --git a/app/views/support_interface/application_forms/editable_extension/edit.html.erb b/app/views/support_interface/application_forms/editable_extension/edit.html.erb
index 5164a6ea687..886858aea44 100644
--- a/app/views/support_interface/application_forms/editable_extension/edit.html.erb
+++ b/app/views/support_interface/application_forms/editable_extension/edit.html.erb
@@ -14,6 +14,10 @@
       <%= f.govuk_text_field :audit_comment, label: { text: 'Zendesk ticket', size: 'm' } %>
       <%= f.govuk_text_field :audit_comment_description, label: { text: 'Why are you making this application editable? (optional)', size: 'm' }, hint: { text: 'This will appear in the audit log alongside this change.' } %>
 
+      <%= f.govuk_check_boxes_fieldset :policy_confirmation, legend: nil do %>
+        <%= f.govuk_check_box :policy_confirmation, true, multiple: false, label: { text: 'I have spoken to and received confirmation from the Policy team to action this request.' }, link_errors: true %>
+      <% end %>
+
       <%= f.govuk_submit 'Update' %>
     </div>
   </div>
diff --git a/config/locales/support_interface/support_interface.yml b/config/locales/support_interface/support_interface.yml
index 5c7360271a6..547cf936862 100644
--- a/config/locales/support_interface/support_interface.yml
+++ b/config/locales/support_interface/support_interface.yml
@@ -329,3 +329,5 @@ en:
             audit_comment:
               blank: Add a link to the Zendesk ticket
               invalid: Enter a valid Zendesk ticket URL
+            policy_confirmation:
+              blank: Select if you have received Policy confirmation