The reading order of a PDF document determines how the document will be read aloud with a screen reader.

You can fix PDF documents that have not been properly tagged during the export from Microsoft Word by adding the tags with Adobe Acrobat.

Adobe Acrobat includes a number of checks that will help you determine how well your PDF documents meet accessibility guidelines. There are two kinds of checks you can perform on your documents: a quick check, and more detailed full check.

To make sure that your Microsoft Word documents are properly tagged for accessibility when you export them to the PDF format, you should enable the accessibility preferences for the PDF Maker.

Adding white space around your images can make it easier for the PDF Maker to properly tag your documents for accessibility when it does the conversion from Microsoft Word to the PDF document format.One way to add white space is by placing your cursor immediately after each image and adding a few carriage returns. However, a better way to add the white space is to use the Paragraph Styles built into Microsoft Word.

Adding alternative text will make the images in your Adobe Acrobat documents more accessible to people who have visual disabilities. However, when you use a decorative image, the image does not any valuable information. To ensure that this kind of image is skipped by a screen reader, you should mark it up as a background object.

Adding alternate (alt) text to your images will make your Microsoft Word documents more accessible to people who have visual impairments. This will also make any PDF documents created from your Microsoft Word documents more accessible as well. 
The alt text is a description of the image that can be read to someone who has a visual impairment by screen reader software.

The use of styles to create headings and lists in Microsoft Word can benefit people with cognitive disabilities by making the content easier to scan and by allowing you to split long documents into smaller segments. Headings can also be converted to bookmarks when you export your PDF document from Microsoft Word. These bookmarks can provide additional navigation to people who rely on a screen reader to access the PDF document.

The key to creating a more accessible PDF document is to begin with a good source document in your word processing program. The five tips presented in this tutorial will allow you to create more accessible PDFs by adding accessibility features to your Microsoft Word documents before they are exported to the PDF format.

There is currently no way to add alternative text to images in a document created with Microsoft Office 2008 for the Mac. However, you can take advantage of the fact that the Mac has the ability to print to a PDF document as a built-in feature of the operating system. You can then use Adobe Acrobat to add the alternative text to the images in your PDF document.

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