The next generation of electromagnetic and gravitational wave observatories will open unprecedented windows to the birth of the first supermassive black holes. This has the potential to reveal their origin and growth in the first billion years, as well as the signatures of their formation history in the local Universe. With this in mind, we outline three key focus areas which will shape research in the next decade and beyond: (1) What were the seeds of the first quasars; how did some reach a billion solar masses before z$sim7$? (2) How does black hole growth change over cosmic time, and how did the early growth of black holes shape their host galaxies? What can we learn from intermediate mass black holes (IMBHs) and dwarf galaxies today? (3) Can we unravel the physics of black hole accretion, understanding both inflows and outflows (jets and winds) in the context of the theory of general relativity? Is it valid to use these insights to scale between stellar and supermassive BHs, i.e., is black hole accretion really scale invariant? In the following, we identify opportunities for the Canadian astronomical community to play a leading role in addressing these issues, in particular by leveraging our strong involvement in the Event Horizon Telescope, the {it James Webb Space Telescope} (JWST), Euclid, the Maunakea Spectroscopic Explorer (MSE), the Thirty Meter Telescope (TMT), the Square Kilometer Array (SKA), the Cosmological Advanced Survey Telescope for Optical and ultraviolet Research (CASTOR), and more. We also discuss synergies with future space-based gravitational wave (LISA) and X-ray (e.g., Athena, Lynx) observatories, as well as the necessity for collaboration with the stellar and galactic evolution communities to build a complete picture of the birth of supermassive black holes, and their growth and their influence over the history of the Universe.
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