If I want to adopt my cousin...what do I do?

I don't think you can start the process by saying "I want . . ." This is about the child's welfare in reality. Unless I am misunderstanding from the get go, she is not available for adoption? Is she? Are her parents seeking to place her with you? If that is the case, you will still need an experienced adoption lawyer to adopt in a different state. You can call CPS, yes it may be screened out as hearsay. You might have to make a visit in person, yes I understand you live out of state, but you are saying you want to adopt, so that is a little out of the way as well. If you are truly concerned the child is being neglected, then it has to be done. At this point it would seem the child's welfare is the only thing that can be a priority, unless they are willing to give her up to you, cps is going to have to be involved. You can't just file an intent to adopt without proving them unfit, going to court, having a trial, having the evidence.