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  1. To create an accessible PDF, your Word Document must have accessibility features including using headings and adding alt text to images. See Creating Accessible Documents in Microsoft Word.
  2. You need to add a title to your document. On the File tab, on the right hand side under Properties, type a human-redable readable Title in the title section.
  3. Once you have completed your document using accessible features, go to File > “Save As…” and select PDF from the choices provided. By default this produces a PDF that preserves the document’s accessibility features. Do not use the "Print as PDF option."
  4. When saving, select Options and be sure that “Document structure tags for accessibility” is checked. This is checked by default, but could become unchecked under certain circumstances.
  5. If you select “Minimize Size” to reduce the size of your PDF, be sure to repeat the preceding step, as this option might uncheck the “Document structure tags for accessibility” checkbox.

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