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To make a printable form accessible according to Section 508 guidelines, the following considerations should be taken into account:

1. Use clear and concise language: Use easy-to-understand language and avoid using technical jargon. Use simple sentence structures and avoid using long paragraphs.

2. Use headers and subheaders: Use headers and subheaders to break up the content and make it easy to scan for people using assistive technologies.

3. Use alt text for images: Provide alternative text descriptions for images, charts, and diagrams so that people using assistive technologies can understand the content.

4. Use high contrast colors: Use high contrast colors for text and background to make it easy to read for people with low vision.

5. Use accessible fonts: Use fonts that are easy to read and legible, such as Arial, Verdana, or Times New Roman.

6. Provide enough space for people using assistive technologies: Leave enough space between elements on the form to make it easier for people using assistive technologies to navigate.

7. Provide accessible formats: Provide accessible formats, such as PDFs that are screen reader-friendly or web forms that can be filled out online.

8. Test the form: Test the form using different assistive technologies such as screen readers or magnifiers to ensure that the content is accessible.